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中华肺部疾病杂志(电子版) ›› 2020, Vol. 13 ›› Issue (06) : 746 -750. doi: 10.3877/cma.j.issn.1674-6902.2020.06.006

论著

慢性阻塞性肺疾病合并高血压的临床特征及危险因素分析
王美菊1, 胡明冬2, 陈华萍2, 徐静1,(), 刘双林1, 刘刚1, 张文静1, 刘熙1, 焦玉丁1, 刘士琛1, 王勤3, 李琦1,()   
  1. 1. 400037 重庆,陆军(第三)军医大学第二附属医院呼吸与危重症医学中心
    2. 400037 重庆,陆军(第三)军医大学第二附属医院呼吸与危重症医学中心;400037 重庆,陆军(第三)军医大学第二附属医院老年与特勤医学科
    3. 400016 重庆,重庆医科大学第二附属医院呼吸与危重症医学科
  • 收稿日期:2020-08-17 出版日期:2020-12-25
  • 通信作者: 徐静, 李琦
  • 基金资助:
    国家自然科学基金资助项目(81800084); 陆军军事医学创新工程专项(18CXZ002)

Clinical characteristics and risk factors of chronic obstructive pulmonary disease complicated with hypertension

Meiju Wang1, Mingdong Hu2, Huaping Chen2, Jing Xu1,(), Shuanglin Liu1, Gang Liu1, Wenjing Zhang1, Xi Liu1, Yuding Jiao1, Shichen Liu1, Qin Wang3, Qi Li1,()   

  1. 1. Department of Respiratory and Critical Care Medicine Center, the Second Affiliated Hospital of Army Medical University, Chongqing 400037, China
    2. Department of Respiratory and Critical Care Medicine Center, the Second Affiliated Hospital of Army Medical University, Chongqing 400037, China; Department of Gerontology and Secret Service Medicine, the Second Affiliated Hospital of Army Medical University, Chongqing 400037, China
    3. Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  • Received:2020-08-17 Published:2020-12-25
  • Corresponding author: Jing Xu, Qi Li
引用本文:

王美菊, 胡明冬, 陈华萍, 徐静, 刘双林, 刘刚, 张文静, 刘熙, 焦玉丁, 刘士琛, 王勤, 李琦. 慢性阻塞性肺疾病合并高血压的临床特征及危险因素分析[J/OL]. 中华肺部疾病杂志(电子版), 2020, 13(06): 746-750.

Meiju Wang, Mingdong Hu, Huaping Chen, Jing Xu, Shuanglin Liu, Gang Liu, Wenjing Zhang, Xi Liu, Yuding Jiao, Shichen Liu, Qin Wang, Qi Li. Clinical characteristics and risk factors of chronic obstructive pulmonary disease complicated with hypertension[J/OL]. Chinese Journal of Lung Diseases(Electronic Edition), 2020, 13(06): 746-750.

目的

观察慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)合并高血压的临床特征,同时分析其相关的危险因素。

方法

收集陆军军医大学新桥医院2016年1月至2018年12月住院的COPD合并高血压患者122例,观察COPD合并高血压的临床特征,同时以单纯COPD患者40例为对照组,应用多因素Logistic回归分析COPD合并高血压的危险因素。

结果

122例COPD合并高血压患者中,29.41%合并冠心病、22.99%合并肾疾病和糖尿病、21.39%合并肺心病、14.97%合并脑梗死、4.28%合并心绞痛、4.28%合并心肌梗死、9.63%合并其他心血管疾病。合并冠心病、心肌梗死、其他心血管疾病患者平均年龄显著高于COPD合并高血压患者对照组(P<0.05);合并肺心病患者病程显著长于对照组(P<0.05);合并冠心病、糖尿病、脑梗死、心绞痛、心肌梗死患者每年急性加重次数显著多余对照组(P<0.05);合并心绞痛和其他心血管疾病患者住院时间显著长于对照组(P<0.05)。多因素Logistic回归分析显示年龄(>80岁)、吸烟支数(>700支/年)、饮酒史、CRP(>50 mg/L)、BNP(>100 ng/L)、高血糖是COPD患者合并高血压的危险因素。

结论

COPD合并高血压易引起其他相关性疾病而加重病情,及早关注其危险因素可提高患者预后。

Objective

To explore the clinical characteristics of chronic obstructive pulmonary disease (COPD) with hypertension, and analyze the risk factors.

Methods

One hundred twenty-two patients with COPD and hypertension were collected from department of respiratory and critical care medicine center of Xinqiao Hospital from January 2016 to December 2018, and observed their clinical characteristics. Meanwhile, 40 COPD patients as control group, the risk factors were analyzed by multi factor Logistic regression.

Results

Among 122 COPD patients with hypertension, 29.41% were complicated with coronary heart disease, 22.99% with renal disease and diabetes, 21.39% with pulmonary heart disease, 14.97% with cerebral infarction, 4.28% with angina pectoris, 4.28% with myocardial infarction and 9.63% with other cardiovascular diseases. The age of patients with coronary heart disease, myocardial infarction and other cardiovascular diseases was significantly higher than that of COPD patients with hypertension (P<0.05); the disease course of with cor pulmonale was remarkably longer than that of control group (P<0.05); the number of acute exacerbations with coronary heart disease, diabetes, cerebral infarction, angina pectoris and myocardial infarction was obviously more than that in the control group (P<0.05); the hospitalization time of patients with angina pectoris and other cardiovascular diseases was significantly longer compared with control group (P<0.05). Logistic regression analysis showed that over 80 years old, smoking more than 700 per year, drinking, C-reactive protein (CRP) more than 50 mg/L, B-type brain natriuretic peptide(BNP) more than 100 ng/L, hyperglycemia were the risk factors of COPD with hypertension.

Conclusion

COPD complicated with hypertension often caused other related diseases and aggravated the disease. Therefore, it is necessary to pay attention to risk factors as early as possible, which will improve the prognosis of patients.

表1 COPD合并高血压患者的合并疾病情况
表2 COPD合并高血压的临床特征
表3 COPD合并高血压危险因素的多因素Logistic回归分析
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