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慢性阻塞性肺部疾病老年患者院内肺部感染的危险因素分析
引用本文:杨诚. 慢性阻塞性肺部疾病老年患者院内肺部感染的危险因素分析[J]. 华南国防医学杂志, 2013, 0(12): 891-893
作者姓名:杨诚
作者单位:第二人民医院急诊内科,江苏连云港222023
摘    要:目的探析慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)老年患者院内肺部感染的相关危险因素。方法作者医院2011-05/2013-04月院内肺部感染的50例COPD患者为A组,随机抽取同期无肺部感染的50例COPD患者为B组,采用单因素和多因素回归分析危险因素。结果经单因素分析,以下因素与COPD患者院内肺部感染显著相关(P〈0.05):合并糖尿病,Ⅱ型呼衰,住ICU时间较长,行机械通气,低蛋白血症,长期应用抗生素和(或)频繁更换,长期使用激素;但经多因素Logistic回归分析发现,仅以下5项因素是COPD患者院内肺部感染的独立危险因素:合并糖尿病,住ICU时间较长,低蛋白血症,长期应用抗生素和(或)频繁更换。结论合并糖尿病,住ICU时间较长,低蛋白血症,长期应用和(或)频繁更换抗生素是老年COPD患者院内肺部感染的独立危险因素,应积极采取治疗措施避免感染发生。

关 键 词:慢性阻塞性肺疾病  危险因素  院内肺部感染

Analysis on Risk Factors of Nosocomial Lung Infection of Elderly Patients with Chronic Obstructive Pulmonary Disease
YANG Cheng. Analysis on Risk Factors of Nosocomial Lung Infection of Elderly Patients with Chronic Obstructive Pulmonary Disease[J]. Military Medical Journal of South China, 2013, 0(12): 891-893
Authors:YANG Cheng
Affiliation:YANG Cheng. Department of Internal Medicine in Emergency, The Second People ' s Hospital, Lianyungang J iangsu 222023, China
Abstract:Objective To analyse the related risk factors of nosocomial lung infection of elderly patients with chronic obstructive pulmonary disease (COPD). Methods A total of 50 patients with nosocomial pulmonary infection of COPD in our hospital from May 2011 to April 2013 were as group A. Another 50 COPD cases without lung infection were as group B. Univariate and multivariate regression analyse was performed to explore the risk factors. Results The Uni- variate analysis indicated the following factors associated with nosocomial lung infection of COPD patients, i. e. diabetes mellitus, type II failure,long stay time in ICU,mechanical ventilation, hypoalbuminemia, long-term use of antibiotics and (or) changed frequently,and long-term use of hormone (P〈0.05). The multivariate analysis indicated the following five factors as independent risk factors,i, e. diabetes mellitus,long stay time in ICU,hypoalbuminemia,long-term use of antibiotics and (or) changed frequently. Conclusion Diabetes mellitus, ICU time longer, hypoalbuminemia, long-terra use of an- tibiotics and/or frequent replacement are the independent risk factors of elderly COPD patients with lung infection. Measures should be taken to prevent infection.
Keywords:Chronic obstructive pulmonary disease  Risk factors  Nosocomial lung infection
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