住院慢性支气管炎患者合并支气管扩张调查分析

目的分析住院慢性支气管炎患者合并支气管扩张的情况及危险因素。方法回顾性分析自2008年1月至2015年12月在沈阳军区总医院呼吸与重症医学科因慢性支气管炎住院患者的临床资料,统计分析其中合并支气管扩张患者(扩张组)的临床资料,并与未合并支气管扩张的患者(未扩张组)进行比较。结果 8年内共有2 647例因慢性支气管炎收入院,占同期住院患者18.2%,合并支气管扩张141例,占住院慢性支气管炎患者5.3%。分析住院慢性支气管炎患者21种共存病,只有低蛋白血症和贫血等2种共存病,合并支气管扩张组明显多于同期住院的非合并支气管扩张组,组间差异有统计学意义(P<0.05)。对住院慢性支气管炎患者合并支气管扩张危险因素进行分析,发现危险因素比值比最高的是合并贫血,之后依次为低蛋白血症和女性患者(P<0.05)。结论慢性支气管炎患者合并支气管扩张不容忽视,女性患者、贫血和低蛋白血症等是合并支气管扩张的危险因素。

Investigation and analysis of hospitalized patients with chronic bronchitis combined bronchiectasis

Objective To investigate status and risk factors in hospitalized patients with chronic bronchitis(CB) combined bronchiectasis.Methods A retrospective study was performed on CB patients combined with bronchiectasis who were admitted from January 2008 to December 2015.The clinical data of the patients with bronchiectasis(dilated group)were statistically analyzed and compared with those who had not combined with bronchiectasis(undilated group).Results There were 2 647 CB patients with or without bronchiectasis who were admitted from January 2008 to December 2015,accounted for 18.2％ (2 647/14 576)of hospitalized patients over the same period.Co-existed with bronchiectasis were 141 cases,accounted for 5.3％ (141/2 647) of hospitalized CB patients.Analysis of 21 common comorbidities(co-exist disease) in patients with CB,only 2 kinds of co-existing disease of hypoalbuminemia and anemia,the number of patients in dilated group was significantly more than that in the undilated group(P ＜ 0.05).The number of patients combined with cancer in the dilated group was less than that in the undilated group (P ＜ 0.05);the other 18 comorbidities between the two groups had no statistically significant difference (P ＞ 0.05).The risk factors for hospitalized CB patients combined with bronchiectasis were anemia(the highest),hypoalbuminemia(higher)and gender(high).Conclusion Patients with chronic bronchitis are susceptible to have bronchiectasis;female,anemia and hypoalbuminemia are risk factors for bronchiectasis.