ACOS与同期哮喘和COPD患者住院情况调查分析

目的:分析ACOS与同期哮喘和COPD患者住院情况。方法:采取回顾性方法,收集6年内住院ACOS与同期哮喘和COPD患者年龄、性别、所患疾病种类和住院费用等临床资料,分别进行统计和分类汇总。结果:2009-2014年共有1327哮喘患者住院治疗,其中合并COPD有128人,即ACOS占哮喘患者的9.6%。同期收治的慢性支气管炎1989人、肺气肿1634人,但行肺功能检查确诊COPD的仅367人,其中合并哮喘同样为128人,即ACOS占COPD患者的34.9%。性别方面,ACOS组男性最多,仅与哮喘组比较,P0.05;年龄,ACOS介于哮喘和COPD之间;入住ICU、机械通气治疗,ACOS组最少,仅与COPD组比较,P0.05;人均花费最低,与哮喘和COPD组比较,P0.05;死亡情况ACOS组仅有1人死亡,死亡率3组中最低,但P0.05;共存病情况ACOS在合并II型呼吸衰竭和过敏性鼻炎方面,与哮喘相似;在合并肺炎和支气管扩张方面与COPD相似;在合并I型呼吸衰竭、冠心病、糖尿病和肝、肾功能异常方面,三组比较,组间差异无显著统计学意义,P0.05;只有合并高血压,ACOS组明显低于哮喘和COPD组,而且组间差异有显著统计学意义,P0.05。结论:与哮喘和COPD相比,ACOS有其独特的特点。

Investigation and Analysis of Hospitalized Patients of ACOS with Asthma and COPD at the Same Time

Objective:To analyze the hospitalized patients of ACOS with asthma and COPD at the same time.Methods:A retrospective method was performed to collect the data of hospitalized patients of ACOS with asthma and COPD. The general information including age, sex, hospitalization costs and so on was compared among three groups. And the type and incidence of illness coexisted was also compared among three groups.Results:A total hospitalized patients with asthma were 1327 from 2009 to 2014, of which there were 128 patients with COPD, that meant ACOS accounted for 9.6 %. At the same time, in 1989 patients with chronic bronchitis, and 1634 patients with emphysema, only 367 patients were diagnosed COPD by pulmonary function test, of which there also were 128 people with asthma, that meant patients with ACOS accounted for 34.9 %. About gender, ACOS is the largest group of male patients, P<0.05, compared with the asthma group. About age and days in hospital, group ACOS were between asthma and COPD groups; about stay in ICU, mechanical ventilation, Group ACOS was the lowest, only compared with group COPD, P<0.05; about the cost, compared with the asthma and COPD, group ACOS was the lowest, P<0.05; only 1 died in ACOS group, and the mortality was the lowest in the 3 groups, but P>0.05. About the coexist diseases, for respiratory failure for type II and allergic rhinitist, ACOS was similar to asthma; for pneumonia and bronchiectasis, ACOS was similar to COPD; for respiratory failure for type I, coronary heart disease, diabetes and liver and kidney function abnormalities, there are no difference between the groups, P >0.05; only for hypertension, ACOS was significantly lower than that of asthma and COPD group, P <0.05.Conclusion:Compared with the asthma and COPD, ACOS has its unique characteristics.