摘要
目的分析高龄冠心病患者肺部感染的相关因素,为预防和控制感染、改善患者生存质量提供理论依据。方法选取2008年8月-2012年6月收治的126例高龄冠心病患者进行回顾性分析,按照其是否合并肺部感染分为感染组与未感染组,对比两组患者的临床资料,并将存在统计学意义的资料纳入logistic多因素回归分析;所有数据采用SPSS13.0进行统计分析。结果 126例冠心病高龄患者中有53例发生肺部感染,肺部感染率42.06%;单因素回归分析发现,营养状态、侵入性操作、冠心病类型、吞咽障碍、意识障碍、长期卧床及存在冠心病病史差异有统计学意义;多因素回归分析发现,营养状态差、侵入性操作、吞咽障碍及长期卧床是影响高龄冠心病患者合并肺部感染的独立危险因素(P<0.05)。结论多种因素是影响高龄冠心病患者合并肺部感染的独立危险因素,应对患者进行早期干预,行侵入性操作中严格无菌操作,对感染患者及时进行治疗,改善其免疫功能,从而改善预后及生存质量。
OBJECTIVE To analyze the related factors of coronary heart disease senile patients with lung infections, so as to provide a theoretical basis for preventing and controlling the infection and improving the quality of life of patients. METHODS We selected 126 cases of senile acute coronary heart disease patients in our hospital from Au- gust 2008 to June 2012 were analyzed retrospectively, they were divided into infection group and non-infection group according to whether the patients with pulmonary infection, the clinical data of the two groups were com- pared, and the significant information included in the multivariate logistic regression analysis. All the data were statistical analyzed by SPSS13.0. RESULTS A total of 53 patients with pulmonary infection among the 126 cases of senile acute coronary heart disease patients, the pulmonary infection rate was 42.06%. Single factor regression analysis found that, nutritional status, invasive operation, coronary heart disease, dysphagia, disturbance of con- sciousness, long-term bedridden and coronary heart disease had signifcant difference. Multiple regression analysis found that, poor nutrition, invasion operation, dysphagia and long-term bedridden were independent risk in elderly patients with acute coronary heart disease complicated with pulmonary infection factors （P〈0.05）. CONCLUSION A variety of factors are the risk factors that affected the elderly patients with acute coronary heart disease compli- cated with pulmonary infections, patients should be early nutritional support and operation strict aseptic in treat- ment, patients with infections should be cured timely so as to improve the immune function, the prognosis and the quality of life of patients.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第13期3245-3247,共3页
Chinese Journal of Nosocomiology
基金
诸暨市科技局基金资助项目(2012CD11316)
关键词
高龄患者
冠心病
肺部感染
影响因素
预防
The elderly
Coronary disease
Pulmonary infection
Influencing factor
Prevention
