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目的:分析ACOS与同期哮喘和COPD患者住院情况。方法:采取回顾性方法,收集6年内住院ACOS与同期哮喘和COPD患者年龄、性别、所患疾病种类和住院费用等临床资料,分别进行统计和分类汇总。结果:2009-2014年共有1327哮喘患者住院治疗,其中合并COPD有128人,即ACOS占哮喘患者的9.6%。同期收治的慢性支气管炎1989人、肺气肿1634人,但行肺功能检查确诊COPD的仅367人,其中合并哮喘同样为128人,即ACOS占COPD患者的34.9%。性别方面,ACOS组男性最多,仅与哮喘组比较,P<0.05;年龄,ACOS介于哮喘和COPD之间;入住ICU、机械通气治疗,ACOS组最少,仅与COPD组比较,P<0.05;人均花费最低,与哮喘和COPD组比较,P<0.05;死亡情况ACOS组仅有1人死亡,死亡率3组中最低,但P>0.05;共存病情况ACOS在合并II型呼吸衰竭和过敏性鼻炎方面,与哮喘相似;在合并肺炎和支气管扩张方面与COPD相似;在合并I型呼吸衰竭、冠心病、糖尿病和肝、肾功能异常方面,三组比较,组间差异无显著统计学意义,P>0.05;只有合并高血压,ACOS组明显低于哮喘和COPD组,而且组间差异有显著统计学意义,P<0.05。结论:与哮喘和COPD相比,ACOS有其独特的特点。
PURPOSE: To analyze the hospitalization of ACOS with patients with asthma and COPD over the same period. Methods: A retrospective study was conducted to collect the clinical data of ACOS in hospital and age and sex of patients with asthma and COPD over the past 6 years, the types of diseases and hospitalization expenses, and to collect and summarize the statistics respectively. Results: A total of 1327 asthma sufferers were hospitalized during 2009-2014, of whom 128 had combined COPD, accounting for 9.6% of those with asthma. The same period, chronic bronchitis were treated 1989, emphysema, 1634 people, but the line of pulmonary function tests confirmed COPD only 367 people, including asthma also 128, or ACCO accounted for 34.9% of patients with COPD. Gender, ACOS group, male only, compared with the asthma group, P <0.05; age, ACOS between asthma and COPD; stay in the ICU, mechanical ventilation treatment, ACOS group at least, only COPD group, P < Per capita expenditure was the lowest, P <0.05 compared with asthma and COPD groups. Deaths There was only 1 death in the ACOS group and the lowest among the 3 deaths, but P> 0.05. Coexisting conditions ACOS was associated with type II respiratory failure and allergy Rhinitis, similar to asthma; similar to COPD in the combination of pneumonia and bronchiectasis; no significant difference between the three groups in the combined type I respiratory failure, coronary heart disease, diabetes and liver and kidney dysfunction, P> 0.05; only with hypertension, ACOS group was significantly lower than asthma and COPD group, and the difference between the groups was statistically significant, P <0.05. Conclusion: ACOS has its unique characteristics compared with asthma and COPD.