| 摘要: |
| ［摘要］ 目的 分析不同FACED评分评估慢性阻塞性肺疾病（COPD）合并支气管扩张患者急性加重期的作用。方法 收集2015-01～2015-12在福建医科大学附属宁德市医院呼吸内科住院的81例COPD合并支气管扩张患者的临床资料，包括年龄、临床症状、胸部高分辨率CT（HRCT）、细菌感染、肺功能、C-反应蛋白（CRP）、血气分析［动脉血氧分压(PO2)，动脉血二氧化碳分压(PCO2）］、血清白蛋白等，并随访出院后1年内急性加重次数（急性加重门诊及住院次数）。以FACED评分量表为依据进行评估。结果 1年随访中FACED评分5～7分的COPD合并支气管扩张组的急性加重次数为(8.46±2.10)次，3～4分组的急性加重次数为(6.62±2.41)次，0～2分组的急性加重次数为（2.92±1.49）次,差异具有统计学意义(P<0.05)。FACED评分与急性加重次数相关分析呈正相关(r=0.753)。结论 FACED评分越高的COPD合并支气管扩张患者急性加重越频繁，FACED评分对于辨别频繁加重型COPD患者存在指导意义。 |
| 关键词: 慢性阻塞性肺疾病 支气管扩张 急性加重期 FACED评分 |
| DOI：10.3969/j.issn.1674-3806.2018.01.07 |
| 分类号:R 563 |
| 基金项目: |
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| Application of FACED scores in assessment of acute exacerbation in patients with chronic obstructive pulmonary disease complicated with bronchiectasis |
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ZHANG Can-hui, PENG Zhi-wen, WU Jian-hui, et al.
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Department of Respiratory Medicine, the Ningde City Hospital Affiliated to Fujian Medical University, Fujian 352100, China
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| Abstract: |
| ［Abstract］ Objective To explore the different FACED scores in the patients with different times of acute exacerbation of chronic obstructive pulmonary disease(COPD) complicated with bronchiectasis.Methods According to the FACED scores, the clinical data of 81 patients with COPD complicated with bronchiectasis,including age, gender, clinical symptoms, HRCT, bacteria, pulmonary function, CRP and blood gas analysis(PO2, PCO2), serum albumin, times of the acute exacerbation(outpatient and hospitalization) during 1 year of the follow-up were retrospectively analyzed.Results The times of acute exacerbation during 1 year of the follow-up in the 5～7 FACED scores group(8.46±2.10) were more than those in the 3～4 FACED scores group(6.62±2.41) and the 0～2 FACED group(2.92±1.49)(P<0.05). The FACED scores were positively correlated with the times of acute exacerbation(r=0.753).Conclusion The more the FACED scores are, the more times of acute exacerbation in the patients with COPD complicated with bronchiectasis. The FACED scores are usefull to diagnose and treat acute exacerbation of COPD. |
| Key words: Chronic obstructive pulmonary disease(COPD) Bronchiectasis Acute exacerbation FACED scores |
