摘要
目的探讨低清蛋白血症与老年慢性阻塞性肺疾病(COPD)临床转归的关系。方法选取2005年1月—2008年6月在我科住院确诊为COPD的老年患者(>60岁)59例,根据患者入院时的血清清蛋白水平分为A组(低清蛋白组,27例)和B组(正常清蛋白组,32例),比较两组各种并发症发生率和病死率。结果A组患者呼吸衰竭(55.6%)、心力衰竭(48.1%)、电解质紊乱(62.9%)及酸碱失衡(36.3%)的发生率与B组(分别为:21.9%、12.5%、25.0%及9.4%)比较差异均有统计学意义(P<0.05),A组病死率(14.8%)与B组(0)比较差异有统计学意义(P<0.05)。结论低清蛋白血症可影响COPD急性加重期的预后,导致并发症发生率及病死率增高,提示清蛋白降低程度与病情及预后相关。
Objectives To investigate the relationship between hypoproteinemia and clinical prognoses of elderly chronic obstructive pulmonary disease(COPD).Methods Fifty-nine elderly COPD patients(above the year of 60) hospitalized in our hospital from Jan 2005 to June 2008 were divided into group A(with low seralbumin) and group B(with normal) according to plasma-albumin concentrations in hospitalized period.Results There was siginificant difference in the incidence of respiratory failure,heart failure,electrolyte di...
出处
《中国全科医学》
CAS
CSCD
北大核心
2009年第10期827-828,共2页
Chinese General Practice
关键词
肺疾病
慢性阻塞性
低蛋白血症
预后
Pulmonary disease
chronic obstructive
Hypoproteinemia
Prognosis
