住院支气管扩张症患者疾病严重程度情况剖析.docVIP

住院支气管扩张症患者疾病严重程度情况剖析 　　[摘要] 目的 分析住院支气管扩张症患者疾病严重程度情况。 方法 以FACED量表为依据，采用回顾性研究方法，通过查阅2014年1～12月中国中医科学院西苑医院肺病科住院的113例支气管扩张症患者病历获得资料，记录患者年龄、性别、临床症状、既往史、吸烟史、影像学资料、痰培养、肺功能等进行分析。 结果 FACED量表总评分为（3.08±1.56）分。住院支气管扩张症患者以70岁及以下为主，占比达60.2%。第1秒用力呼气容积（FEV1）比值以50%为主，占比为66.7%。痰培养能检测出铜绿假单胞菌的比例极低，只有6.9%。呼吸困难占比为69%，与专家共识中72%～83%相差不大。咳嗽是支气管扩张症患者最常见的症状，半数患者有咳黄脓痰症状，约1/4患者可出现咯血、纳呆，1/3患者有乏力症状，70%以上患者有胸闷症状。 结论 住院治疗的支气管扩张症患者疾病严重程度以中度为主，主要临床症状与疾病严重程度有关。 　　[关键词] 支气管扩张症；支气管扩张症疾病严重程度分级量表；疾病严重程度 　　[中图分类号] R562.22 [文献标识码] A [文章编号] 1673-7210（2016）10（a）-0048-04 　　Analysis of severity of hospitalized patients with bronchiectasis 　　HONG Qiaoyu1 FAN Changzheng2▲ 　　1.Department of Traditional Chinese Medicine and Rehabilitation， Beijing Health Vocational College， Beijing 101101， China； 2.Xiyuan Hospital of CACMS， Beijing 100091， China 　　[Abstract] Objective To analyze disease severity of hospitalized patients with bronchiectasis. Methods According to FACED scale， the retrospective study was adopted. Medical records of 113 cases with bronchiectasis hospitalized in Pulmonary Disease Department， Xiyuan Hospital of CACMS from January to December 2014 were collected. The age， sex， clinical symptoms， past history， smoking history， imaging data， sputum culture， lung function， etc. were recorded and analyzed. Results The total score of the FACED scale was （3.08±1.56） points. Age of hospitalized patients with bronchiectasis was mainly under 70 years， accounted for 60.2%. FEV1 ratio was dominated by more than 50%， accounted for 66.7%. Sputum culture could detect the proportion of Pseudomonas aeruginosa was very low， only 6.9%. Patients with dyspnea accounted for 69%， which was not far different from 72%-83% of the experts consensus. Cough was the most common symptom in patients with bronchiectasis. Half of the patients had symptoms of cough and phlegm， about 1/4 of patients had hemoptysis， anorexia， and 1/3 patients had fatigue symptom， more than 70% of patients had symptoms of chest tightness. Conclusion