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| Study on the Control Current Status and Affecting Factors of Elderly Bronchial Asthma |
| LI Xi, LI Lin |
| West China Hospital of Sichuan University, Sichuan Chengdu 610041, China |
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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.
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2019, Vol. 25 
