LI Ying-zhang1 ZHONG Xian-nian2. A Comparative Study on Bronchial Asthma in Elderly and Young People[J]. Health Medicine Research and Practice, 2009,6(3):33-35.
LI Ying-zhang1 ZHONG Xian-nian2. A Comparative Study on Bronchial Asthma in Elderly and Young People[J]. Health Medicine Research and Practice, 2009,6(3):33-35.DOI:
老年与青年支气管哮喘的对比性研究
摘要
目的探讨老年与青年支气管哮喘的临床特点
提高其防治效果。方法收集住院与门诊支气管哮喘380例
其中老年组230例
青年组150例
调查家族遗传史、哮喘临床类型、疗效、预后、并存病等
予以对比分析。结果有阳性家族史者
青年组为53.33%
老年组为30.43%
差异有统计学意义(χ2=19.93
P<0.01);老年组哮喘内源性占60.87%
青年组外源性占66.67%
两组哮喘类型的差异有统计学意义(χ2=27.54
P<0.01);老年组有86.97%的病人合并其他疾病
青年组仅2.67%并存其他疾病
老年组病情严重程度、常反复发作比例、治疗效果与青年组比较
两组差异均有统计学意义(P<0.05或P<0.01)。结论老年支气管哮喘以内源性居多
中、重度多见
并存病多
疗效差
死亡率高
而青年人哮喘以外源性为主
多有遗传倾向
少有并存病
病情以轻中度多见
疗效好
复发率低。
Abstract
Objective To study the clinical features of bronchial asthma of the elderly and the young
to improve the prevention and treatrent.Method To collect 380 cases of bronchial asthma
of which 230 cases were in old age group
150 cases in young group
to investigate the family history
asthma
clinical types
efficacy
prognosis
disease and other co-exist
and to make comparison and analysis.Results Were with 55.33% in yowth group positive family history
30.43% for the older group
the difference was statistically significant(χ2=19.93
P<0.01);elderly endogenous asthma 60.87%
accounting for the young group of exogenous 66.67%
two types of asthma have a statistically significant difference(χ2=27.54
P<0.01);old age group
86.97% for patients with other diseases
only 2.67% percent of youth groups exist in other diseases
the severity of the disease in elderly group
often repeated the proportion of attacks
treatment effects worse than the young group
the two groups were statistically significant differences(P<0.05 or P<0.01).Conclusion Derived within senile bronchial asthma and more severe common
both diseases
and efficacy of poor
high mortality
but other than asthma derived mainly young people
more than a genetic tendency to co-exist very few cases