摘要
目的探讨多发性骨髓瘤合并肺部感染的临床特征及危险因素,为医护人员早发现早诊断早干预提供科学依据。方法选取2016年1月至2018年1月于我院就诊的106例多发性骨髓瘤患者为研究对象,其中65例出现肺部感染,收集患者的一般资料,采用多因素logistic回归分析确定引起肺部感染的危险因素。结果多因素logistic回归分析显示,年龄≥60岁,有吸烟史、体力状况评分≥3分、C反应蛋白>10 mg/L、DS分期Ⅲ级、ISS分期Ⅲ级是多发性骨髓瘤合并肺部感染的危险因素。结论对多发性骨髓瘤患者应及时发现并开展对症治疗,争取减轻患者的病痛,同时要增强其免疫力,减少发生肺部感染。
Objective To explore the clinical features and risk factors of multiple myeloma combined with pulmonary infection,and provide scientific basis for early detection,early diagnosis and early intervention for medical staff.Methods We selected 106 cases of patients with multiple myeloma who were treated in our hospital from January 2016 to January 2018 as the study subjects.Among them,65 cases of patients developed pulmonary infection.General data of the patients were collected and multivariate logistic regression analysis was used to determine the risk factors for pulmonary infections.Results Multivariate logistic regression analysis showed that the age≥60 years,smoking history,physical status score≥3 points,C-reactive protein>10 mg/L,DS stage III,and ISS stage III were risk factors for multiple myeloma with pulmonary infection.Conclusion Patients with multiple myeloma should be promptly identified and treated symptomatically to reduce the patient's pain,at the same time strengthen their immunity and reduce the incidence of pulmonary infection.
作者
段燕春
王灿飞
DUAN Yan-chun;WANG Can-fei
出处
《护理实践与研究》
2020年第1期52-53,共2页
Nursing Practice and Research
关键词
多发性骨髓瘤
肺部感染
危险因素
Multiple myeloma
Pulmonary infection
Risk factors
