摘要
目的:探讨老年肿瘤患者并发医院获得性肺炎的危险因素。方法:选择南通市老年康复医院并发医院获得性肺炎的老年肿瘤患者50例为观察组,随机选择同时段住院治疗未并发医院获得性肺炎的老年肿瘤患者50例为对照组。从住院时间、肿瘤分期、功能状态评分(PS评分)、糖皮质激素的使用、应用广谱抗菌药物、侵入性操作、手术、放疗/化疗、贫血、中性粒细胞缺乏、血清白蛋白水平、是否合并糖尿病、慢性阻塞性肺病(COPD)、长期吸烟等方面比较两组的差异。结果:住院时间≥30d、肿瘤分期(Ⅲ+Ⅳ期)、贫血、中性粒细胞缺乏、PS评分、血清白蛋白水平<30g/L、COPD病史方面两组比较差异有统计学意义(P<0.01),糖皮质激素的使用、应用广谱抗菌药物、侵入性操作、手术、放疗/化疗、是否合并糖尿病、长期吸烟方面两组比较差异有统计学意义(P<0.05)。结论:多种危险因素可以导致老年肿瘤患者并发医院获得性肺炎感染,应该采取积极有效的预防措施,并进行规范治疗。
Objective：To explore the risk factors of elderly therioma patients complicated hospital-acquired pneu- monia. Methods ：Fifty elderly therioma patients complicated hospital-acquired pneumonia in elderly rehabilitation hos- pital of nantong for the observation group, 50 in-hospital cases random selection,has no hospital-acquired pneumonia, for control froup. To compare the difference between two groups in hospital stays ,neoplasm staging ,performance sta- tus （PS） score, using of glucocorticoid, antibacterial drugs application, invasive operation, surgery, radiation therapy, chemotherapy ,anemia/neutrophils lack ,serum albumin levels ,whether with diabetes mellitus ,chronic obstructive pul- monary disease （COPD）,long-term smoking. Results ：The length of time in hospital was 30 days. There was statistical significance between two groups in neoplasm staging, （ ~I ＋ N period） ,anemia,neutrophils lack ,PS score ,serum albu- min levels^30 g/L ,COPD history（P%0.01）. There was statistical significance between two groups in the use of cor- ticosteroids, antibacterial drugs application, invasive operation, surgery, radiation therapy, chemotherapy, whether/ with. diabetes mellitus,long-term smoking （P%0.05）. Conclusion： A variety of risk factors can cause aging patients with tumor concurrent hospital-acquired pneumonia infection ,should take positive effective preventive measures ,and adopt the standard treatment.
出处
《临床医药实践》
2012年第9期660-662,共3页
Proceeding of Clinical Medicine
关键词
肿瘤
医院获得性肺炎
老年
因素
carcinoma
hospital acquired pneumonia
elderly
faetors
