<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">MRP</journal-id><journal-title-group><journal-title>Medical Research and Practice</journal-title></journal-title-group><issn>2993-9690</issn><eissn>2993-9704</eissn><publisher><publisher-name>Art and Technology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/MRP.12732</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>基层慢阻肺患者现状及其急性加重的影响因素分析</title><url>https://artdesignp.com/journal/MRP/3/2/10.61369/MRP.12732</url><author>李沛臻,李全科</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>3</volume><issue>2</issue><history><date date-type="pub"><published-time>2025-02-20</published-time></date></history><abstract>目的：了解安丘市COPD 患者的状况，并探讨AECOPD 的影响因素。方法：本研究对安丘市COPD 病例随机抽取60例患者完成问卷调查，并进行数据分析。结果：通过研究发现COPD患者COPD知识知晓率低，用药配合度低，随访不及时。比较非急性合并重组与急性合并重组各项指标的差异，急性加重组的潜在病情构成、GOLD组成、mMRC的组成、患者精神状态评分高于非急性加重组，差异有统计学意义（P&amp;lt;0.001）。采用二分多因素logistic回归分析急性加重的影响因素，有基础医学条件、mMRC分级的增高者，病情急性加重概率也随之增加。结论：存在COPD患者对COPD的认知度较低，院外治疗不规范，不能及时复诊等情况。COPD患者有较高的合并症、mMRC分级、GOLD评分和心理状态评分，更容易因急性加重而再次住院。</abstract><keywords>慢性阻塞性肺疾病(COPD),急性加重,调查问卷,影响因素</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1] Huang J, Bian Y, Zhao Y, Jin Z, Liu L, Li G. The Impact of Depression and Anxiety on Chronic Obstructive Pulmonary Disease Acute Exacerbations: A prospective cohort study[J]. J Affect Disord,2021,15,281:147-152.[2] Wang C, Xu J, Yang L, et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study[J]. Lancet,2018,391(10131):1706-1717.[3] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组,中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 新型冠状病毒肺炎疫情期间慢性阻塞性肺疾病医疗和防范须知[J]. 中华结核和呼吸杂志,2020,43(5):421-426.[4] Global Initiative for Chronic Obstructive Lung Disease (GOLD). 2021 Global Strategy for the Diagnosis, Management and Prevention of COPD, available from URL [EB/OL]. https: //goldcopd.org/2021-gold-reports/.[5] World Health Organization. Projection of mortality and causes of death, 2015 and 2030.2020.https://www.who.int/healthinfo/global_burden_disease/projections2015-2030/en/ (accessed.13. March 2020).[6]吴建忠,黄可,雷洁萍,等.&amp;ldquo;中国县域慢阻肺管理中心&amp;rdquo;项目慢性 阻塞性肺疾病高危人群筛查及危险因素分析[J]. 国际呼吸杂志,2022,42(12):917-921.[7] 李思其,高兴林.《慢性阻塞性肺疾病全球倡议》2021年版更新解读[J].临床药物治疗杂志,2021,19(5):36-42.[8]唐星瑶,黄可,陈昉园,等.中国县级医院慢阻肺诊治及管理能力现状调查[J]. 中华健康管理学杂,2022,16(4):222-228.[9] 崔凯铭,张蓉.综合管理模式干预对社区老年中重度 COPD 患者稳定期的影响[J].公共卫生与预防医学,2020年第31卷第3期:126-129.[10] 吴惠平,张薇薇,朱云飞,等.慢性阻塞性肺疾病患者的自我管理国内外研究进展[J].中外医疗,29:195-198.[11] 陈明敏,叶康丽,徐志杰,等.我国慢性阻塞性肺疾病社区管理现状与展望[J].中国全科医学,2020,23(3):251-256.[12] You L, Niu H, Huang K, et al. Clinical Features and Outcomes of Acute Exacerbation in Chronic Obstructive Pulmonary Disease Patients with Pulmonary Heart Disease: A Multicenter Observational Study[J]. Int J Chron Obstruct Pulmon Dis,2021,22(16): 2901-2910.[13] Khateeb J, Fuchs E, Khamaisi M. Diabetes and Lung Disease: A Neglected Relationship[J]. Rev Diabet Stud, 2019,25(15): 1-15.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
