Objective To investigate the morbidity,growth rate,and clinical features of abdominal aortic aneurysm (AAA) in patients with chronic obstructive pulmonary disease (COPD).Methods From January 2014 to January 2017,234 patients with chronic obstructive pulmonary disease were enrolled in this study.178 cases of abdominal aortic aneurysm were selected as experimental group and 56 patients with COPD alone as control group.The degree of dyspnea,the level of COPD disease,the diameter of AAA tumor in the experimental group were measured,and the growth rate of the tumor was analyzed.Results The score of dyspnea in the experimental group was significantly higher than that in the control group (P＜0.05).The greater the degree of dyspnea was,the greater the diameter of the abdominal aortic aneurysm was,with significant correlation between the two (P＜0.05).Conclusion COPD patients are susceptible to AAA,and patients with heavier breathing difficulties have larger AAA diameter,worthy of attention in clinical treatment.%目的 探究慢性肺阻塞性肺疾病(COPD)患者中腹主动脉瘤(abdominal aortic aneurysm,AAA)的发病率、生长速度及临床特征.方法 随机选择本院2014年1月至2017年1月收治的慢性阻塞性肺疾病患者234例,患腹主动脉瘤178例为实验组,56例单纯COPD患者为对照组.评估两组患者呼吸困难程度、COPD疾病等级,腹部超声测量实验组腹主动脉瘤直径,分析瘤子生长速度.结果 实验组患者呼吸困难分级评分显著高于对照组(P＜0.05),实验组呼吸越严重的患者腹主动脉瘤直径越大,且二者具有明显的相关性(P＜0.05).结论 COPD患者易患AAA,且呼吸困难较重的患者AAA直径越大,临床治疗时值得关注.
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