摘要
目的探讨重症肺炎合并糖尿病患者预后影响因素。方法回顾性分析我院确诊为重症肺炎合并糖尿病87例患者的临床资料,依据预后情况分为存活组(n=56)和死亡组(n=31),对比两组一般资料和并发症发生情况,采用Logistic回归方法进行重症肺炎合并糖尿病患者预后的多因素分析。结果两组年龄、入院前是否使用抗生素、血糖控制情况、脓毒血症和感染性休克发生情况、有无吸烟史及血小板计数等比较,差异有统计学意义(P <0. 05)。血糖控制较差、发生脓毒血症为重症肺炎合并糖尿病患者死亡的危险因素,入院前使用抗生素为重症肺炎合并糖尿病患者死亡的保护因素(P <0. 05)。存活组并发症发生率低于死亡组(P <0. 05)。结论重症肺炎合并糖尿病有较高的致死率,并发症发生率高,血糖控制情况、是否发生脓毒血症和入院前是否使用抗生素为影响重症肺炎合并糖尿病患者预后的主要因素。
To explore the influencing factors of prognosis of patients with severe pneumonia complicated with diabetes.The clinical data of 87 patients with severe pneumonia complicated with diabetes diagnosed and treated in our hospital were retrospectively analyzed.According to their prognosis,they were divided into survival group(n=56)and death group(n=31).The incidence of complications and related laboratory indicators were compared between the two groups.Logistic regression analysis was performed to analyze the factors influencing the prognosis of these patients.There were statistically significant difference in general data such as age,use of antibiotics before admission,blood glucose control,occurrence of sepsis and septic shock,history of smoking and platelet count(P<0.05).The poor blood glucose control and sepsis were risk factors for death of these patients(P<0.05)while using antibiotics before admission was a protective factor(P<0.05).The incidence of complications in the survival group was significantly lower than that in the death group(P<0.05).The mortality rate and incidence of complications of patients with severe pneumonia complicated with diabetes are high.The blood glucose control,the incidence of sepsis and the use of antibiotics before admission are the main factors affecting the prognosis of the patients.
作者
陈茂林
杨青松
CHEN Mao-lin;YANG Qing-song(Department of Ophthalmology,Bazhong Central Hospital,Bazhong 636000,China)
出处
《实用医院临床杂志》
2018年第6期138-141,共4页
Practical Journal of Clinical Medicine
关键词
重症肺炎
糖尿病
预后
影响因素
Severe pneumonia
Diabetes
Prognosis
Influencing factors
