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目的:了解新疆乌鲁木齐市和阿克苏市COPO患者常见并发症及其影响因素,方法:2011年1月～12月,由乌鲁木齐市、阿克苏市呼吸科专家及相关学科专家设计调查表,采取横断面调查,分别对两市共548例COPD患者进行面对面调查,主要内容包括患者一般信息、初诊肺通气功能、COPD患者病程、COPD患者干预措施、并发症、合并疾病、患者的认知情况。结果:两市548例copd患者并发症以抑郁焦虑状态、肺心病、骨质疏松症为主,其中并发三种以上(包括三种)的患者占54,0%(296/548);阿克苏市274例copd患者并发症以骨质疏松症最多,其次为抑郁焦虑状态,而乌鲁木齐市copd患者并发症以抑郁焦虑状态患者居多(占98.2%),其次为肺心病患者。结论:两市copd患者并发症均为抑郁焦虑状态和肺心病常见,并且目前心血管系统疾病亦是影响我区患者生活质量的常见疾病之一,符合我区常见疾病的流行病学调查。而并发抑郁焦虑状态的患者在两市的调查中也相对较多,提示临床医师在对copd患者进行药物治疗的同时需积极辅助心理治疗。
OBJECTIVE: To understand the common complication and its influencing factors in COPO patients in Urumqi and Aksu, Xinjiang. METHODS: From January to December 2011, questionnaires were designed by experts of respiratory department and related disciplines in Urumqi and Aksu cities. The cross-sectional survey , Respectively, a total of 548 cases of COPD patients in the two cities face to face investigation, the main contents include the general information of the patient, the initial diagnosis of pulmonary ventilation, the duration of COPD patients, COPD interventions, complications, complications, patient awareness. Results: The complications of 548 copd patients in both cities were mainly depression and anxiety, pulmonary heart disease and osteoporosis. Among them, 54,0% (296/548) patients were complicated by more than three kinds of diseases (including three types), Aksu 274 cases of COPD patients with complications of osteoporosis the most, followed by depression and anxiety, and complications of copd patients in Urumqi patients with depression and anxiety (98.2%), followed by patients with pulmonary heart disease. Conclusions: Complications of COPD patients in both cities are common depression and anxiety state and pulmonary heart disease, and cardiovascular disease is also one of the common diseases affecting the quality of life of patients in our district, in line with the epidemiological survey of common diseases in our district. Patients with concurrent depression and anxiety are also relatively more investigated in the two cities, suggesting that clinicians should actively assist psychological treatment while copd patients should be treated with drugs.