摘要
目的探讨老年慢性阻塞性肺疾病(COPD)患者出院后急性加重再入院的影响因素。方法选取2020年1月-2022年6月就诊于南昌县中医院的老年COPD患者121例作为研究对象,收集资料,分析老年COPD患者出院后急性加重再入院的影响因素。结果121例老年COPD患者出院后6个月内发生急性加重再入院的患者有31例(25.62%),其余90例(74.38%)未发生急性加重再入院;单因素分析显示,吸烟史、体质量指数(BMI)、过去1年急性加重次数、合并高血压、合并糖尿病与老年COPD患者出院后急性加重再入院有关,有统计学差异(P<0.05);老年COPD患者出院后急性加重再入院与性别、婚姻状况、受教育程度、是否独居、年龄、月收入、呼吸困难无关,无统计学差异(P>0.05);多因素分析显示,有吸烟史(β=1.124,OR=3.077,95%CI=1.289-7.344)、BMI<18.5kg/m^(2)(β=1.585,OR=4.881,95%CI=1.715-13.892)、过去1年急性加重次数≥2次(β=1.101,OR=3.008,95%CI=1.270-7.124)、合并高血压(β=1.192,OR=3.294,95%CI=1.372-7.909)、合并糖尿病(β=0.965,OR=2.626,95%CI=1.135-6.076)是老年COPD患者出院后急性加重再入院的高危因素(P<0.05)。结论老年COPD患者出院后易发生急性加重再入院情况,其发生与吸烟史、BMI、过去1年急性加重次数、合并高血压、合并糖尿病多种因素有关,临床需加以重视。
Objective To investigate the influencing factors of acute exacerbation readmission in elderly patients with chronic obstructive pulmonary disease(COPD)after discharge.Methods 121 elderly patients with COPD who visited our hospital from January 2020 to June 2022 were selected as the study objects.Data were collected and the influencing factors of acute exacerbation and readmission of elderly patients with COPD after discharge were analyzed.Results Among 121 elderly patients with COPD,31(25.62%)were readmitted with acute exacerbation within 6 months after discharge,and the remaining 90(7438%)were not readmitted with acute exacerbation;Univariate analysis showed that smoking history,body mass index(BMI),the number of acute exacerbations in the past year,hypertension and diabetes were related to the acute exacerbations and readmission of elderly COPD patients after discharge,with statistical differences(P<0.05);after discharge,acute exacerbation and readmission of elderly COPD patients were not related to gender,marital status,education level,whether living alone,age,monthly income,and dyspnea,and there was no significant difference(P>0.05);multivariate analysis showed that smoking history(β=1.124,OR=3.077,95%CI=1.289-7.344),BMI<18.5kg/m^(2)(β=1.585,OR=4.881,95%CI=1.715-13.892),the number of acute exacerbations in the past year>2(β=1.101,OR=3.008,95%CI=1.270-7.124),combined with hypertension(β=1.192,OR=3.294,95%CI=1.372-7.909),combined with diabetes(β=0.965,OR=2.626,95%CI=1.135-6.076)was a high risk factor for acute exacerbation of readmission in elderly COPD patients after discharge(P<0.05).Conelusion Elderly patients with COPD are prone to acute exacerbation and re admission after discharge,which is related to smoking history,BMI,the number of acute exacerbations in the past year,hypertension and diabetes,and should be paid attention to clinically.
作者
万磊
Wan Lei(Nanchang Traditional Chinese Medicine Hospital,Nanchang,Jiangxi 330200,China)
出处
《首都食品与医药》
2023年第9期44-46,共3页
Capital Food Medicine
关键词
慢性阻塞性肺疾病
吸烟史
急性加重再入院
糖尿病
Chronic obstructive pulmonary disease
Smoking history
Acute exacerbation and readmission
Diabetes
