摘要
目的:探讨老年慢性支气管炎患者中慢性阻塞性肺疾病(COPD)的发病情况及肺功能受损程度(COPD分级)与吸烟之间的关系。方法:2010年3月至2011年9月间来我院呼吸内科门诊就诊及呼吸内科病房住院的老年慢性支气管炎患者635例,经肺功能测定确诊为COPD的患者124例,分为吸烟组、不吸烟组和曾吸烟已戒烟组,并将三组患者的肺功能受损程度进行比较。结果:124例COPD患者中男性94例(75.81%),女性30例(24.19%)。其中肺功能轻度异常者10例(8.06%),中度异常者50例(40.32%),重度和极重度64例(51.61%)。在肺功能重度和极重度异常的患者中吸烟和曾吸烟已戒烟者分别为14例(21.88%)和44例(68.75%),而不吸烟者仅占6例(9.37%),表明吸烟者和曾吸烟已戒烟者较不吸烟者肺功能更差。在与吸烟相关(包括吸烟组和曾吸烟已戒组)的COPD患者中曾吸烟已戒组所占比例高于吸烟组。结论:老年COPD患者中男性多于女性。吸烟与患者肺功能的受损程度相关。我们需要高度重视吸烟对于肺功能的损害作用。
Objective：To explore the the incidence of COPD in elder patients with chronic bronchitis,and analysis on the relationship between impairment of lung function and smoking.Methods：Total 635 elder patients who were diagnosed as chronic bronchitis admitted from March 2010 to Sep.2011.All of them were detected pulmonary function,124 patients were diagnosed as COPD.They were divided into there groups：non-smoking group,stop-smoking group and the smoking group.To compare the pulmonary function between groups.Results：There were 94（75.81%） male and 30（24.19%）female patients.Lung function was mildly abnormal in 10（8.06%） patients,moderate abnormal in 50（40.32%）,severe and very severe abnormal in 64（51. 61%）patients.In patients with severe and very severe abnormal lung function,there were 14（21.88%） stop-smoking and 44 （68.75%） stop-smoking patients,but only 6（9.37%） non-smoking patients.This shows that smokers and smokers who smoked had worse lung function than non-smokers.There were more stop-smoking patients than smoking patients in COPD patients. Conclusions：There were more male patients than female in elderly COPD patients.Smoking can accelerate impairement of lung function.We need to focus on the role of smoking for lung damage.
出处
《中国临床医学》
2011年第6期794-796,共3页
Chinese Journal of Clinical Medicine
