摘要
目的分析老年慢性阻塞性肺疾病并发肺炎的危险性因素,为有效预防与治疗提供指导。方法 80例老年慢性阻塞性肺疾病并发肺炎患者纳入观察组,同期80例无肺炎老年慢性阻塞性肺疾病患者纳入对照组,比较两组临床资料,分析并发肺炎危险因素。结果两组性别、年龄、体质量指数(BMI)、长期卧床情况比较差异无统计学意义(P> 0. 05),观察组住ICU时间、机械通气时间明显长于对照组(P <0. 05),机械通气、长期使用激素、长期使用抗菌药物、高血压病、糖尿病、低蛋白血症、II型呼吸衰竭、合并症种类≥2种所占百分比高于对照组(P <0. 05); Logistic回归分析显示,住ICU时间长、机械通气、机械通气时间、长期使用激素、长期使用抗菌药物、高血压病、糖尿病、低蛋白血症、II型呼吸衰竭及合并症种类≥2种为老年慢性阻塞性肺疾病并发肺炎独立危险因素(P <0. 05)。结论临床上可针对老年慢性阻塞性肺疾病并发肺炎的独立危险因素采取合理防治对策,降低肺炎风险。
Objective To analyze the risk factors of pneumonia in 80 patients with chronic obstructive pulmonary disease(COPD)so as to provide guidance for effective prevention and treatment of the disease.Methods Eighty elderly patients with COPD and pneumonia were chosen as observation group.Another 80 elderly patients with COPD without pneumonia at the same period were chosen as control group.The clinical data were compared between the two groups to analyze the risk factors for pneumonia.Results There was no significant difference in gender,age,BMI or long-term bed rest between the two groups(P>0.05).The length of ICU stay and mechanical ventilation time in the observation group were significantly longer than those in the control group(P<0.05).The percentages of patients with mechanical ventilation,long-term use of hormones,long-term use of antibiotics,hypertension,diabetes mellitus,hypoalbuminemia and typeⅡrespiratory failure as well as comorbidities equal to or greater than 2 of above events were significantly higher than those in the control group(P<0.05).Logistic regression analysis showed that long ICU stay,mechanical ventilation,mechanical ventilation time,long-term use of hormones,long-term use of antibiotics,hypertension,diabetes mellitus,hypoproteinemia,typeⅡrespiratory failure and comorbidities greater than or equals to 2 were independent risk factors for pneumonia in elderly patients with COPD(P<0.05).Conclusion Reasonable control measures should be taken according to these main independent risk factors to reduce the occurrence of pneumonia.
作者
严璐
赵锦秀
黄维
YAN Lu;ZHAO Jin-xiu;HUANG We(The First Affiliated Hospital, Chengdu Medical College, Chengdu 610500, China;Integrative Medicine Hospital of Sichuan Province, Chengdu 610041, China)
出处
《实用医院临床杂志》
2019年第1期65-67,共3页
Practical Journal of Clinical Medicine
关键词
老年患者
慢性阻塞性肺疾病
肺炎
危险性因素
分析
Elderly patients
Chronic obstructive pulmonary disease
Pneumonia
Risk factors
Analysis
