武警医学2025，Vol.36Issue(10)：835-840,6.
血小板计数对慢性阻塞性肺疾病急性加重期合并支气管扩张的预测价值
Predictive value of platelet count for acute exacerbation of chronic obstructive pulmonary disease complicated with bronchiectasis
李兴龙 1赵杰 1刘克远 1严维佳 1白媛 1黄巧巧1
作者信息
- 1. 400061,武警重庆总队医院呼吸与危重症医学科
- 折叠
摘要
Abstract
Objective To analyze the clinical features of acute exacerbation of chronic obstructive pulmonary disease(AECO-PD)and AECOPD complicated with bronchiectasis(BE)and to explore the value of platelet count in predicting AECOPD combined with BE(AECOPD-BE).Methods A retrospective analysis was conducted to collect the clinical data of AECOPD patients who visi-ted Chongqing Municipal Corps Hospital of Chinese People's Armed Police Force from 2021 to 2023.The patients with AECOPD were assigned to the control group(AECOPD group),while those with AECOPD-BE were assigned to the case group(AECOPD-BE group).The basic conditions and clinical indicators were compared between the two groups and the influencing factors of AECOPD combined with BE were analyzed.Results A total of 470 AECOPD patients were included and 59 patients(12.55%)had BE.The average platelet count of the AECOPD-BE group 228.00(182.00,279.00)]×109/L〛 was significantly higher than that of the AECO-PD group[197.00(154.00,237.75)×109/L〛,and the difference was statistically significant(Z=-3.731,P<0.001).Multivariate logistic regression analysis revealed that elevated platelet count(OR=1.003,95%CI:1.001-1.006)was a risk factor for AECOPD-BE,with an area under the curve of 0.651(P<0.05).Conclusions Elevated platelet count is a risk factor for AECOPD combined with BE,which has certain predictive value in AECOPD-BE patients.关键词
慢性阻塞性肺疾病急性加重期/支气管扩张/合并症/血小板计数/影响因素Key words
acute exacerbation of chronic obstructive pulmonary disease/bronchiectasis/comorbidity/platelet count/influ-encing factors分类
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李兴龙,赵杰,刘克远,严维佳,白媛,黄巧巧..血小板计数对慢性阻塞性肺疾病急性加重期合并支气管扩张的预测价值[J].武警医学,2025,36(10):835-840,6.
