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目的:研究分析慢性阻塞性肺疾病致急性呼吸衰竭的危险因素。方法:随机选取2013年9月至2016年9月期间我院呼吸内科收治的慢性阻塞性肺疾病患者154例作为研究对象,其中并发急性呼吸衰竭患者共58例,未并发急性呼吸衰竭患者96例,结合不同患者的实际情况进行危险因素的分析。结果:并发急性呼吸衰竭患者尿酸、白蛋白、身体质量指数及使用吸入用糖平皮质激素率均显著低于对照组,酸碱失衡发生率、医院感染发生率显著高于对照组,数据比较差异均具有统计学意义(P<0.05)。结论:影响慢性阻塞性肺疾病致急性呼吸衰竭的危险因素较多,主要与COPO发作次数、电解质酸碱失衡等因素关联较大。
Objective: To study and analyze the risk factors of acute respiratory failure caused by chronic obstructive pulmonary disease. Methods: A total of 154 patients with chronic obstructive pulmonary disease (COPD) treated in our department from September 2013 to September 2016 were selected randomly. Among them, 58 patients were complicated by acute respiratory failure and 96 patients were not complicated by acute respiratory failure , Combined with the actual situation of different patients for risk factor analysis. Results: The levels of uric acid, albumin, body mass index and the inhaled glucose and corticosteroid in patients with acute respiratory failure were significantly lower than those in the control group, the incidence of acid-base imbalance and the incidence of nosocomial infections were significantly higher than those in the control group All were statistically significant (P <0.05). Conclusion: There are many risk factors affecting acute respiratory failure in patients with chronic obstructive pulmonary disease, which are mainly related to the number of COPO attacks, electrolyte imbalance and other factors.