本文選題：支氣管擴張癥　切入點：危險因素　出處：《中國呼吸與危重監(jiān)護雜志》2016年06期 　論文類型：期刊論文

【摘要】：目的探討支氣管擴張癥患者死亡相關(guān)危險因素。方法收集2011年1月至2013年12月因支氣管擴張癥住院且有完整資料的283例患者,隨訪至2015年10月,分析患者年齡、性別、體重指數(shù)(body mass index,BMI)、吸煙史、呼吸困難評分、影像學資料,痰培養(yǎng),血氣分析、肺功能等指標,對影響患者預后的危險因素進行COX回歸分析。結(jié)果 283例患者中好轉(zhuǎn)231例,死亡52例,患者1、2、3、4年累積生存率分別為97%、86%、71%、45%;COX回歸分析顯示年齡≥70歲(RR=2.222,95%CI 1.145~4.314)、BMI18.5 kg/m~2(RR=2.328,95%CI 1.205~4.497)、肺HRCT累及肺葉數(shù)≥3個(RR=0.382,95%CI 0.188~0.774)、FEV1%pred70%(RR=1.032,95%CI 0.923~1.180)是影響支氣管擴張癥患者死亡的獨立危險因素(均P0.05)。結(jié)論支氣管擴張癥患者死亡與多種因素相關(guān),早期識別危險因素有利于支氣管擴張癥管理。
[Abstract]:Objective to investigate the risk factors related to death in patients with bronchiectasis. Methods from January 2011 to December 2013, 283 patients with bronchiectasis with complete data were collected and followed up until October 2015 to analyze the age and sex of the patients. Body mass index (BMI), smoking history, dyspnea score, imaging data, sputum culture, blood gas analysis and pulmonary function were analyzed by COX regression analysis. 52 deaths, The cumulative survival rates of patients with 1, 2, 3 and 4 years were 97 / 2 / 866 / 71and 75 / 45 respectively. The results of Cox regression analysis showed that RRN 2.22295 CI 1.1452.22295 CI 1.1454.31445 BMI 18.5 kg / kg RMI 2.3289595 CI 1.2054.497, lung HRCT involvement and the number of pulmonary lobes 鈮，

本文編號：1602052