Đặc điểm lâm sàng và cận lâm sàng của người bệnh phổi tắc nghẽn mạn tính sau đợt cấp tại Trung tâm hô hấp Bệnh viện Bạch Mai năm 2018

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Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2020

Mô tả vật lý: tr.120

Bộ sưu tập: Báo, Tạp chí

ID: 321789

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Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng của người bệnh phổi tắc nghẽn mạn tính sau đợt cấp. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang được thực hiện trên 122 người bệnh có đợt cấp bệnh phổi tắc nghẽn mạn tính được điều trị tại Trung tâm Hô hấp bệnh viện Bạch Mai năm 2018, trong đó có 114 nam và 8 nữ. Kết quả: Tuổi trung bình của người bệnh tham gia nghiên cứu là 68,8 ± 9,23
Tỷ lệ nam/nữ xấp xỉ 14/1
tỷ lệ người bệnh GOLD D chiếm 86%, còn lại là GOLD C. Sau đợt cấp, hai triệu chứng hay gặp nhất là khạc đờm chiếm và ho lần lượt là 73% và 80,3%. Về thực thể có 50% người bệnh có lồng ngực hình thùng, 31,2% người bệnh có rales ẩm, rales nổ
76,25% có tăng áp lực động mạch phổi và 50,8% người bệnh có hình ảnh ‘P phế’ trên điện tâm đồ. Kết luận: Sau đợt cấp, người bệnh COPD vẫn tồn tại đáng kể các triệu chứng về hô hấp. Do đó cần có kế hoạch quản lý tại nhà, khám định kỳ người bệnh COPD để ngăn ngừa đợt cấp và nâng cao chất lượng cuộc sống cho bệnh nhân.Objective: To describe the clinical and laboratory features of patients with chronic obstructive pulmonary disease after their exacerbations. Method: A cross-sectional study was conducted on 122 patients with Chronic Obstructive Pulmonary Disease (COPD) after the exacerbations by the Respiratory center at Bach Mai Hospital in 2018. Results: The mean age of study patients was 68,8 ± 9,23
the male/female ratio was approximately 14/1. Patients with GOLD D accounted highestly for 86%. After exacerbation, the two most common symptoms were sputum producing (73%) and excessive coughing (80,3%). In terms of physical manifestations, 63,9% COPD patients reduced vesicular breath sounds
31,2% had coarse crackles and fine crackles
76,25 had a high pulmonary artery pressure and 50,8% patients had the P pulmonale in ECG. Conclusion: After the exacerbation, COPD patients still had some respiratory symptoms such as cough, sputum production. Therefore, self-management prorams and re-examination to prevent patients from exacerbations is necessary.

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