Prognostic Analysis of Chronic Obstructive Pulmonary Disease and Respiratory Failure Patients with Upper Gastrointestinal Bleeding_West China Medical Journal

Authors：

 CHENPei , LIUXiao-jun , YANGXun , GUANHe-li , GAOLing-yun

Department of Respiratory, the Affiliated Hospital of Chengdu University, Chengdu, Sichuan 610081, P. R. China;

Corresponding author：

Keywords：

Chronic obstructive pulmonary disease; Respiratory failure; Upper gastrointestinal bleeding; Prevention

DOI：

10.7507/1002-0179.20140272

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Objective To investigate the relationship between chronic obstructive pulmonary disease (COPD) and respiratory failure in patients with upper gastrointestinal bleeding and recent prognosis. Methods We retrospectively analyzed the clinical data of 73 patients with COPD and respiratory failure treated from February 2009 to May 2011. The patients were assigned to the observing group (n=33) and control group (n=40). General characteristics, improvement rates, mortality rates, lengths of hospital stay, endotracheal tube rates and arrhythmia rates were compared between the two groups. Results Age, sex, and medical history of the patients were similar in both groups (P>0.05). Compared with the control group, the improvement rate was lower (P<0.001), the mortality rate (P<0.001), length of hospital stay (P<0.001), endotracheal tube rate (P<0.05) and arrhythmia rate (P<0.05) were all higher in the observing group after treatment. Conclusion Upper gastrointestinal bleeding is a high risk factor for short-term prognosis patients with COPD and respiratory failure.

Citation： CHENPei, LIUXiao-jun, YANGXun, GUANHe-li, GAOLing-yun. Prognostic Analysis of Chronic Obstructive Pulmonary Disease and Respiratory Failure Patients with Upper Gastrointestinal Bleeding. West China Medical Journal, 2014, 29(5): 897-899. doi: 10.7507/1002-0179.20140272 Copy

1.	Han MK, Agusti A, Calverley PM, et al. Chronic obstructive pulmonary disease phenotypes:the future of COPD[J]. Am J Respir Crit Care Med, 2010, 182(5):598-604.
2.	杨恂, 刘晓俊, 高凌云, 等. 糖尿病对慢性阻塞性肺疾病患者肺功能及血气分析影响的研究[J]. 华西医学, 2010, 25(1):9-11.
3.	中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南(2007年修订版)[J]. 中华内科杂志, 2007, 30(3):254-261.
4.	Liu Y, Croft JB, Anderson LA, et al. The association of chronic obstructive pulmonary disease, disability, engagement in social activities, and mortality among US adults aged 70 years or older, 1994-2006[J]. Int J Chron Obstruct Pulmon Dis, 2014(9):75-83.
5.	周小燕, 王苑蓉, 黄兆晶. 老年慢性阻塞性肺疾病患者家庭功能与应对方式调查[J]. 华西医学, 2011, 26(4):594-597.
6.	柳涛, 蔡柏蔷. 慢性阻塞性肺疾病诊断、处理和预防全球策略(2011年修订版)介绍[J]. 中国呼吸与危重监护杂志, 2012, 11(1):1-12.
7.	Huang KW, Luo JC, Leu HB, et al. Chronic obstructive pulmonary disease:an Independent risk factor for peptic ulcer bleeding:a nationwide population-based study[J]. Aliment Pharmacol Ther, 2012, 35(7):796-802.
8.	Button LA, Roberts SE, Evans PA, et al. Hospitalized incidence and case fatality for upper gastrointestinal bleeding from 1999 to 2007:a record linkage study[J]. Aliment Pharmacol Ther, 2011, 33(1):64-76.
9.	王燕英, 朱蕾, 蔡映云. 无创性通气治疗慢性阻塞性肺疾病呼吸衰竭并发上消化道出血的因素探讨[J]. 中国呼吸与危重监护杂志, 2004, 3(3):173-176.
10.	胡品津, 陆再英, 钟南山. 消化道出血[M]. 7版. 北京:人民卫生出版社, 2007:483-491.
11.	Anthonisen NR, Wright EC, Hodgkin JE. Prognosis in chronic obstructive pulmonary disease[J]. Am Rev Respir Dis, 1986, 133(1):14-20.
12.	唐昊, 修清玉. 慢性阻塞性肺疾病急性加重的研究[J]. 国际呼吸杂志, 2007, 27(3):225-229.
13.	和小文, 韩小年. 奥美拉唑防治脑卒中并发上消化道出血的观察[J]. 吉林医学, 2010, 31(16):2414-2415.
14.	李晓康, 陈青, 张海. 全身性皮质激素治疗慢性阻塞性肺疾病急性加重期的临床观察[J]. 华西医学, 2006, 21(2):354.
15.	Pirt MJ, Stanley S. Update on stress ulcer prophylaxis in critically ill patients[J]. Crit Care Nurse, 2006, 26(1):18-27.
16.	ASHP Therapeutic Guidelines on Stress Ulcer Prophylaxis. ASHP Commission on Therapeutics and approved by the ASHP Board of Directors on November 14, 1998[J]. Am J Health Syst Pharm, 1999, 56(4):347-379.

1. Han MK, Agusti A, Calverley PM, et al. Chronic obstructive pulmonary disease phenotypes:the future of COPD[J]. Am J Respir Crit Care Med, 2010, 182(5):598-604.
2. 杨恂, 刘晓俊, 高凌云, 等. 糖尿病对慢性阻塞性肺疾病患者肺功能及血气分析影响的研究[J]. 华西医学, 2010, 25(1):9-11.
3. 中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南(2007年修订版)[J]. 中华内科杂志, 2007, 30(3):254-261.
4. Liu Y, Croft JB, Anderson LA, et al. The association of chronic obstructive pulmonary disease, disability, engagement in social activities, and mortality among US adults aged 70 years or older, 1994-2006[J]. Int J Chron Obstruct Pulmon Dis, 2014(9):75-83.
5. 周小燕, 王苑蓉, 黄兆晶. 老年慢性阻塞性肺疾病患者家庭功能与应对方式调查[J]. 华西医学, 2011, 26(4):594-597.
6. 柳涛, 蔡柏蔷. 慢性阻塞性肺疾病诊断、处理和预防全球策略(2011年修订版)介绍[J]. 中国呼吸与危重监护杂志, 2012, 11(1):1-12.
7. Huang KW, Luo JC, Leu HB, et al. Chronic obstructive pulmonary disease:an Independent risk factor for peptic ulcer bleeding:a nationwide population-based study[J]. Aliment Pharmacol Ther, 2012, 35(7):796-802.
8. Button LA, Roberts SE, Evans PA, et al. Hospitalized incidence and case fatality for upper gastrointestinal bleeding from 1999 to 2007:a record linkage study[J]. Aliment Pharmacol Ther, 2011, 33(1):64-76.
9. 王燕英, 朱蕾, 蔡映云. 无创性通气治疗慢性阻塞性肺疾病呼吸衰竭并发上消化道出血的因素探讨[J]. 中国呼吸与危重监护杂志, 2004, 3(3):173-176.
10. 胡品津, 陆再英, 钟南山. 消化道出血[M]. 7版. 北京:人民卫生出版社, 2007:483-491.
11. Anthonisen NR, Wright EC, Hodgkin JE. Prognosis in chronic obstructive pulmonary disease[J]. Am Rev Respir Dis, 1986, 133(1):14-20.
12. 唐昊, 修清玉. 慢性阻塞性肺疾病急性加重的研究[J]. 国际呼吸杂志, 2007, 27(3):225-229.
13. 和小文, 韩小年. 奥美拉唑防治脑卒中并发上消化道出血的观察[J]. 吉林医学, 2010, 31(16):2414-2415.
14. 李晓康, 陈青, 张海. 全身性皮质激素治疗慢性阻塞性肺疾病急性加重期的临床观察[J]. 华西医学, 2006, 21(2):354.
15. Pirt MJ, Stanley S. Update on stress ulcer prophylaxis in critically ill patients[J]. Crit Care Nurse, 2006, 26(1):18-27.
16. ASHP Therapeutic Guidelines on Stress Ulcer Prophylaxis. ASHP Commission on Therapeutics and approved by the ASHP Board of Directors on November 14, 1998[J]. Am J Health Syst Pharm, 1999, 56(4):347-379.

West China Medical Journal

Prognostic Analysis of Chronic Obstructive Pulmonary Disease and Respiratory Failure Patients with Upper Gastrointestinal Bleeding

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