摘要
目的探究老年精神分裂症患者肺部感染的临床特征及应对措施.方法选取2015年11月至2017年11月本院老年精神分裂症合并肺部感染患者41例作为观察组,另选取本院同期收治单纯老年肺部感染患者41例作为对照组.对比两组临床特征,观察组均进行痰培养实验,根据实验结果,针对性选择抗菌药物治疗,并予以常规治疗措施,统计治疗效果.结果两组胸闷气促、咳嗽咯痰、紫绀、发热、中性粒细胞增高、白细胞增加发生率相比,差异无统计学意义（P〉0.05）;观察组消化系统症状、神经精神症状发生率均较对照组高,差异有统计学意义（P〈0.05）.41例老年精神分裂症并发肺部感染患者痰培养共检出103株病原菌,其中铜绿假单胞菌最多,肺炎克雷伯菌次之.41例老年精神分裂症并发肺部感染患者经治疗后,24例（47.06%）患者症状消失,9例（21.95%）患者症状明显缓解,5例（12.20%）病情无变化,3例（7.32%）病情恶化.结论严密观察老年精神分裂症并发肺部感染患者临床表现,积极予以常规治疗同时,进行痰培养实验,并根据实验结果予以针对性抗菌药物治疗,有助于有效控制感染情况.
Objective To investigate the clinical features and countermeasures of pulmonary infection in elderly patients with schizophrenia. Methods 41 elderly patients with schizophrenia and pulmonary infection in our hospital from November 2015 to November 2017 were selected as the observation group, other 41 patients with simple pulmonary infection during the same period were selected as the control group. The clinical characteristics of the two groups were compared, and then the observation group was subjected to the sputum culture. The antimicrobial drugs were targetedly selected according to the experimental results, combined with conventional treatment measures, recorded the therapeutic effect. Results There were no statistically signifcant differences in the incidences of chest tightness, cough and expectoration, cyanosis, fever, neutrophil and leukocyte increase between the two groups （P〉0.05）; the incidences of digestive symptoms and neuropsychiatric symptoms in the observation group were higher than those in the control group, with statistically significant differences （P〈0.05）. A total of 103 strains of pathogens were detected in 41 sputum cultures of elderly patients with schizophrenia and pulmonary infection, of which Pseudomonas aeruginosa was the most, followed by Klebsiella pneumoniae. After treatment in the observation group, the symptoms disappeared in 24 patients （47.06%）, the symptoms were obviously alleviated in 9 patients （21.95%）, the symptoms did not change in 5 patients （12.20%）, and the condition worsened in 3 patients （7.32%）. Conclusion The clinical features of elderly patients with schizophrenia and pulmonary infection should be closely observed. Active routine treatment and targeted antibiotic treatment based on the sputum culture experimental results, help to effectively control the infection.
作者
潘伟盟
Pan Weimeng(Psychiatry Department,The Second Affliated Hospital of Xinxiang Medical College,Xinxiang 453002,China)
出处
《国际医药卫生导报》
2018年第21期3305-3307,共3页
International Medicine and Health Guidance News
关键词
老年
精神分裂症
肺部感染
临床特征
应对措施
Senile
Schizophrenia
Pulmonary infection
Clinical features
Response measures
