TY -的T1 - < em >绿脓杆菌< / em >病人住院的COPD恶化:一个前瞻性研究JF -欧洲呼吸杂志》乔欧元和J SP - 1072 LP - 1078 - 10.1183/09031936.00003309六世- 34 - 5是AU - c . Garcia-Vidal AU - p . Almagro AU - v .吉普赛盟- m . Rodriguez-Carballeira AU - e . Cuchi盟- l -卡纳莱斯AU - d . Blasco盟- J·l·Heredia盟- J . Garau Y1 - 2009/11/01 UR - //www.qdcxjkg.com/content/34/5/1072.abstract N2 -风险因素铜绿假单胞菌(PA)隔离病人住院的慢性阻塞性肺疾病(COPD)恶化仍有争议。我们研究的目的是确定的发病率和危险因素PA隔离在痰住院患者的前瞻性群组的慢性阻塞性肺病急性加重。我们前瞻性地研究COPD患者恶化承认我们医院2003年6月至2004年9月。PA隔离疑似预测进行了研究。肺量测定法测试和6分钟步行试验进行患者出院后1个月。高分辨率计算机断层扫描(HRCT)表现以随机的方式在每两个病人量化支气管扩张的存在和程度。随访期间医院re-admissions的第二年。总共包括188名患者,其中31例(16.5%)有PA在痰最初的承认。波德(身体质量指数,气流阻塞,呼吸困难,运动能力)指数(1.26或2.18,95% CI -3.78;p = 0.005),入学前一年(1.13或1.65,95% CI -2.43; p = 0.005), systemic steroid treatment (OR 14.7, CI 95% 2.28–94.8; p = 0.01), and previous isolation of PA (OR 23.1, CI 95% 5.7–94.3; p<0.001) were associated with PA isolation. No relationship was seen between bronchiectasis in HRCT and antibiotic use in the previous 3 months. PA in sputum at hospital admission is more frequent in patients with poorer scoring on the BODE index, previous hospital admissions, oral corticosteroids and prior isolation of PA. ER -