COPD Patients Hospitalized Again Cause And The Analysis Of Death Within 30 Days

Objective:Within 30 days on patients with chronic obstructive pulmonary disease(COPD) and the influence factors and prognosis of hospitalization may, for the prevention or treatment of acute exacerbation of chronic obstructive pulmonary disease(COPD).Methods : Collected in January 2012- December 2014, xinjiang medical university hospital respiratory hospital of traditional Chinese medicine and within 30 days after discharge from the patients with acute exacerbation of chronic obstructive pulmonary disease(COPD) in hospital again, at the same time to collect the same illness severity not occurred within 30 days of hospitalization of patients with chronic obstructive pulmonary disease(COPD) as control.By gathering medical records of patients during hospitalization,identify possible with COPD patients occurred within 30 days after discharge readmission related influencing factors.Results : Collect observation group of 176 patients, control group 150 cases, between the two groups of patients’ age, gender, history, course and severity of disease there is no significant difference;Statistics found between observation group and control group in three generations with enzyme and quinolone drugs using frequency did not see obvious difference, no statistical significance(P > 0.01).Penicillium in carbon alkene drug use frequency of observation group is significantly higher than the control group had significant difference, and(P < 0.01);Statistics found that observation group and control group in the use of inhaled corticosteroids during hospitalization, no obvious difference had no statistical significance(P > 0.01);Use systemic hormone the frequency of observation group was obviously higher than that of control group,( P <0.01);COPD patients discharged from hospital after drug use statistical analysis found that the observation group of patients after discharge medication noncompliance is significantly higher than control group in the proportion of patients, and exist obvious difference was statistically significant(P < 0.01).In observation group of patients with COPD complicated with cardiovascular disease is more, was followed by diabetes and bronchial asthma;Compare the found number of complications is less than three, controlthe number of complications is less than 3 significantly more than the observation group,significant differences, there is statistical significance(P < 0.01);While the number of complications is greater than or equal to 3, the number of complications is greater than 3observation group was obviously more than the control group, there are significant differences,(P < 0.01);Follow up on two groups of patients with COPD, observation group patients die 2 years in 50 people(28%), 2 years died 17 people in control group(11%), the observation group of patients with COPD mortality is significantly higher than control group in 2 years, contrast between the two groups was statistically significant(P <0.01). Conlusions:COPD patients within 30 days before occurrence may be related to patients in the hospital again hospitalization treatment(hormone therapy, antibiotics therapy), its complications, drug compliance related after discharge.At the same time, two groups of patients with TCM syndrome type with phlegm turbidity indicates pulmonary syndrome and dry evil lung injury.30 days to COPD patients in hospital mortality occurred less 2 years to have a significant rise in hospitalized patients.COPD patients should be paid great attention to prompt clinical diagnosis and treatment work in 30 days in hospital again.COPD patients with acute aggravating again within 30 days on the judgement of the prognosis of patients with CODP has the vital significance.