ĐẶC ĐIỂM NGƯỜI BỊ BỆNH PHỔI TẮC NGHẼN MẠN TÍNH TẠI BỆNH VIỆN ĐA KHOA HUYỆN THẠCH THẤT, HÀ NỘI NĂM 2023

Abstract

The study's design is to prospectively describe 67 patients with COPD treated at Thach That General Hospital, Hanoi in 2023. Objective: Describe the characteristics of patients with COPD exacerbations at Thach That District General Hospital Hanoi in 2023. Collected data shows that most are men, accounting for 88.1%; The highest percentage is > 70 years old (50.7%), occupation: the subjects with the highest percentage are housewives, workers, farmers accounting for 80.6% and retired officials only accounting for 19.4%; Regarding smoking preferences, 23.9% of people currently smoke tobacco and 64.2% have quit smoking; Having had the disease for over 5 years accounts for 73.1%; Hospitalization ≥ 3 times/year accounts for 40.3%. Regarding clinical features: When admitted to the hospital, only 6% of patients had fever and it disappeared in the following days; The results of blood pressure, pulse, and breathing rate were significantly improved from admission to the 5th day of hospitalization. Symptoms have improved from the time of admission to the day of discharge, such as difficulty breathing when the patient is at the level of respiratory muscle contraction (hospital admission: 95.5% but on day 5 only 53.7%), difficulty breathing. at rest (hospital admission: 56.7% but on day 5 only 16.4%), or shortness of breath on exertion (hospital admission: 43.3% but on days 3 and 5 no patient had difficulty breathing when exertion (0.0 %) Symptoms of cough and sputum have improved significantly since admission to the hospital, accounting for from 1.5% to 14.9%, but by the 5th day of hospitalization, they had decreased to 0.0%. Symptoms of chest pain of patients when hospitalized included severe chest pain (3%), moderate chest pain (46.3%), and mild chest pain (50.7%), which gradually decreased after treatment. by the time. Other clinical symptoms: Signs of fatigue, edema of both limbs, ascites, purple lips and moderate extremities of COPD patients have improved from the time of hospital admission to the day of discharge. Patients with comorbid chronic diseases account for 44.8%.