|
|
Incidence and influencing factors of venous thromboembolism in elderly patients with acute exacerbation of COPD |
Wang Wei |
Department of Respiration, Shaoxing Center Hospital, Shaoxing 312000, China |
|
|
Abstract Objective To investigate the morbidity and influencing factors of venous thromboembolism in elderly patients with acute exacerbation of COPD. Methods Totally 160 elderly patients aged over 50 who were hospitalized for COPD were collected for statistical analysis. Results There were 41 cases in the VTE group, with the average age 70.31 ± 6.84 years old, and there were 119 cases in the non-VTE group, with the average age 58.74 ± 6.02 years old. There were significant differences between the two groups in age, smoking history, history of cardiovascular and cerebrovascular disease, diabetes mellitus, COPD grade (grade III and above), deep vein catheterization (>2 weeks), D-dimer, and levels of h-CRP, PaO2, PaCO2 (P<0.05). Multivariate results showed that D-dimer level (OR=3.53) and PaO2 level (OR=2.67) were important factors influencing venous thrombosis in elderly patients with AECOPD. Conclusion The proportion of age and smoking history of VTE group is higher than that of non-VTE group, high levels of D-dimer and PaO2 are risk factors for venous thrombosis in elderly patients with AECOPD .
|
Received: 19 September 2017
|
|
|
|
[1] 方芳,林云才.老年肺癌合并静脉血栓栓塞症的因素及生存情况[J].中国老年学, 2016,36(17):4253-4254. [2] 白冬波.慢性阻塞性肺疾病急性加重期并发静脉血栓栓塞症的危险因素及预防[J].血栓与止血学,2016,22(3):270-272. [3] 肖毅,满春燕,洪衡,等.老年急性肺血栓栓塞症患者危险因素及临床特征研究[J].北京医学, 2016,38(2):101-104. [4] 唐旭芬,沈军英,俞怡.老年心力衰竭患者医院获得性感染的危险因素及护理策略[J].中国医院统计, 2015, 22(6):441-443. [5] 中华医学会呼吸学分会慢性阻塞性肺病学组.慢性阻塞性肺疾病诊疗指南(2013年修订版)[A].中华结核和呼吸杂志,2013,36(4):484-491. [6] 中华医学会呼吸病学分会.肺血栓栓塞症的诊断和治疗指南(草案)[J].中华结核和呼吸杂志,2001,24(5):259-264. [7] 王健,陈德才,于嵩,等.慢性阻塞性肺疾病住院患者特征分析[J].中国公共卫生,2017,33(1):159-161. [8] 余蕊,叶赟,申光富,等.急性肺血栓栓塞症预后的影响因素分析[J].临床医学研究与实践,2016, 1(19):47-48. [9] 刘成媛,刘晓涵,陈曦,等.住院患者静脉血栓栓塞症危险因素的病例对照研究[J].中华现代护理杂志,2016,22(24):3434-3437. [10]徐慧敏,魏莉.COPD患者罹患肺血栓栓塞症(PTE)的危险因素分析[J].山东医学高等专科学校学报,2017,39(1):1-4. [11]孙聪,常永梅,王钧,等.D-二聚体在慢性阻塞性肺疾病患者下肢深静脉血栓筛查中的应用价值[J].中华实用诊断与治疗杂志,2016,30(1):71-72. [12]米玉红.急性肺血栓栓塞症的诊断与治疗规范及面临的问题[J].中国急救医学,2017,37(1):17-22. [13]曹成瑛,陈秋红,陈红,等.高原地区肺动脉血栓栓塞的临床特点及危险因素分析[J].第三军医大学学报,2017,39(4):390-393. [14]程涛.慢性阻塞性肺疾病急性加重时血液流变学的改变[J].慢性病学杂志, 2016(2):209-211. [15]陈威飞, 龚娜.老年慢阻肺患者治疗依从性调查及影响因素研究[J].中国医院统计, 2016, 23(6):436-438. [16]孙聪,常永梅,王钧,等.D-二聚体在慢性阻塞性肺疾病患者下肢深静脉血栓筛查中的应用价值[J].中华实用诊断与治疗杂志,2016,30(1):71-72. [17]郭晓慧,赵言廷,徐赫男,等.超敏C-反应蛋白、D-二聚体、纤维蛋白原及血气分析与慢性阻塞性肺疾病合并肺动脉高压的相关性[J].中国老年学杂志,2017,37(3):650-652. [18]董洪英,张云霞.慢性阻塞性肺疾病急性加重期患者并发静脉血栓栓塞的危险因素分析[J].中华全科医学, 2017(1):76-78. |
[1] |
Yao Jinjiang, Xu Yongyong, Guo Lingxia, Yang Liping, Pan Jing, Zhao Qianfou, Tan Zhijun. Analysis of job satisfaction and its influence factors among medical staffs in Shaanxi province[J]. journal1, 2018, 25(2): 81-84. |
[2] |
Kong Hongyan. Investigation on current situation and influencing factors of breastfeeding knowledge of pregnant women in a hospital from 2012 to 2016[J]. journal1, 2018, 25(2): 96-98. |
[3] |
. [J]. journal1, 2018, 25(2): 123-125. |
[4] |
Huang Yanqun, Zhang Hui, Wang Ni, Liu Honglei, Chen Hui. Analysis of prognostic factors of cerebrovascular disease based on the national inpatient sample[J]. journal1, 2018, 25(2): 111-114. |
[5] |
Fang Lingyan. Analysis of knowledge and influencing factors of ICU patients′ knowledge about early activities[J]. journal1, 2018, 25(1): 33-35. |
[6] |
Wang Weina, Shen Ying. Influence factor analysis of nasal continuous positive airway pressure stability for newborn[J]. journal1, 2018, 25(1): 20-22. |
|
|
|
|