Abstract：Objective:To explore the control current status of elderly bronchial asthma and analyze the influencing factors for asthma control and attack severity. Methods:The clinical data of 82 elderly patients with bronchial asthma in our hospital from April 2017 to April 2018 were retrospectively analyzed. The general data, asthma control and attack severity of 82 elderly patients with bronchial asthma were recorded, and multivariate Logistic regression analysis was used to analyze the influencing factors for asthma control and attack severity. Results: Among 82 cases, males were in great proportion of 72.73%. Age was mainly 65-74 years old, accounting for 77.27%. The basic diseases were mainly diabetes and hypertension, accounting for 50.00% and 30.49% respectively. Asthma was completely controlled in 26.83% patients, well controlled in 47.56% patients and uncontrolled in 25.61% patients. The severity of asthma attack was mild in 54.88%, moderate in 14.63%, severe 25.61% and critically severe in 4.88%. Gender was not associated with asthma control and severity of asthma attack (P>0.05), but age, obesity, smoking and acute respiratory infection in the past 2 months were independent risk factors for asthma control and severity of asthma attack (P<0.05), and regular use of inhaled glucocorticoid and regular follow-up were independent protective factors affecting asthma control and severity of asthma attack (P<0.05). Conclusions:The control current status of bronchial asthma is good in our hospital, but age, obesity, smoking, acute respiratory infection in the past 2 months, use of inhaled glucocorticoid and follow-up status all are influencing factors for asthma control and attack severity. Clinically targeted interventions should be given based on the characteristics of elderly patients.
李希, 李林. 老年支气管哮喘病情控制现状及影响因素研究[J]. 河北医学, 2019, 25(5): 808-810.
LI Xi, LI Lin. Study on the Control Current Status and Affecting Factors of Elderly Bronchial Asthma. HeBei Med, 2019, 25(5): 808-810.
[1] 李丽蕊,齐佳华,崔紫阳,等.孟鲁司特对老年支气管哮喘合并OSAHS患者呼出气一氧化氮及炎症因子的影响[J].临床耳鼻咽喉头颈外科杂志,2017,31(20):1589~1592. [2] 潘明鸣,张洪胜,孙铁英.老年男性支气管哮喘-慢性阻塞性肺疾病重叠综合征患者肺功能特征分析[J].中华老年医学杂志,2017,36(2):146~150. [3] 张晓岩,林江涛.2017年全球哮喘防治倡议指南解读[J].中国实用内科杂志,2017,37(8):709~711. [4] 杨一民,曾谷兰,李雅心,等.儿童支气管哮喘控制测试的临床应用[J].中华实用儿科临床杂志,2017,32(16):1248~1252. [5] 中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊断、治疗及教育和管理方案)[J].中华内科杂志,2003,26(3):132~138. [6] 倪啸颖,佘君,朱蕾.老年支气管哮喘的发病机制研究进展[J].中华结核和呼吸杂志,2017,40(8):616~618. [7] 宣朕.不同干预模式应用于老年支气管哮喘患者自我管理中的效果比较[J].安徽医学,2017,38(3):367~370. [8] 邹华,田东波,刘春磊.老年急性哮喘患者联用硫酸沙丁胺醇气雾剂与茶碱控释片的疗效[J].广东医学,2018,39(S1):229~230. [9] 赵娜,田甜,陈复辉.哮喘-慢性阻塞性肺疾病重叠最新研究现状[J].中华老年多器官疾病杂志,2017,16(9):703~707. [10] Yoshida M, KanekoY, IshimatsuA,et al.Effects of tiotropium on lung function in current smokers and never smokers with bronchial asthma[J].Pulmonary Pharmacology & Therapeutics,2017,42(s59):7~12.
2019, Vol. 25 
冀公网安备13080202000677号