To explore the clinical application of comprehensive geriatric assessment in the treatment of chronic obstructive pulmonary disease.

99 hospitalized elderly patients with chronic obstructive pulmonary disease (>60 years old) were randomly divided into routine treatment group (48 cases) and comprehensive assessment group (51 cases) in January 2017 to April 2018. We compare the general data of the subjects, the treatment effect of the two groups before and after the treatment, the slow lung assessment test, the 6 minute walk test, and the percentage of the one second forced expiratory volume.

There was no significant difference in general data between the two groups (P>0.05). There was no statistically significant difference between the two groups before and after treatment (P>0.05). The differences in gait, fall, cognitive function, anxiety and depression were statistically significant (P<0.05). The routine treatment group was compared with the CGA group at admission, and the BADL, IADL, gait, and fall of the patients were compared. There was no significant difference in the difference of cognitive function, anxiety and depression (P>0.05). After 1 month of discharge, the difference of BADL and IADL in the CGA group was not statistically significant (P>0.05), but the difference in gait, fall, cognitive function, anxiety and depression was statistically significant (P<0.05). The test showed that before treatment, there was no significant difference in the therapeutic effect between the 2 groups (P>0.05), and after 1 month of discharge, the symptoms, activity, social influence, FEV1/FVC and 6MWT control groups in group CGA were statistically significant (P<0.05), but there was no significant difference in sleep (P>0.05). After the treatment of the 2 groups, the differences of reacute attack, rehospitalization and complication were statistically significant (P<0.05), and there was no significant difference between death and respiratory failure (P>0.05).

The comprehensive evaluation technique of old age has effect on the clinical treatment of chronic obstructive pulmonary disease. It is worth popularizing. It is suggested that the comprehensive evaluation technique should be applied as early as possible, and effective intervention should be taken to maintain and improve the functional status and quality of life of the elderly patients to the maximum.