老年2型糖尿病肾病血液透析期间肺部感染的危险因素分析

目的观察老年2型糖尿病肾病患者血液透析期间肺部感染的危险因素。方法选取81例年龄＞60岁的规律维持性血液透析2型糖尿病肾病患者进行观察,并对患者进行随访,观察患者肺部感染情况并分析影响因素。结果随访时间6～24月,共11例患者发生肺部感染,发生率为13.6%,其共感染22种病原菌,革兰阴性菌感染最高(68.2%)。肺部感染组患者年龄>80岁、糖尿病病程＞10年、高血压、白蛋白≤35 g/L、总蛋白≤60 g/L、容量负荷、服用促胃动力药物、糖化血红蛋白＞7%比例均高于无肺部感染组(P＜0.05)。Logistic回归分析结果显示,年龄、容量负荷、使用促胃动力药物、糖化血红蛋白、白蛋白是老年糖尿病肾病血液透析期间肺部感染的独立影响因素(P＜0.05)。结论年龄＞80岁、容量负荷、使用促胃动力药物、高糖化血红蛋白、低白蛋白是老年2型糖尿病肾病患者在血液透析期间发生肺部感染的危险因素。

Risk factors of pulmonary infection during hemodialysis in elderly patients with type 2 diabetic nephropathy

Based on the parent company theory and entity theory, this paper analyzes many special problems existing in the accounting of goodwill as an unrecognizable asset, and finds that under different merger theories, the accounting principles of goodwill, goodwill impairment, deferred income tax, asset restructuring, multiple step-by-step transactions under the business combinations not under common control, merger cost of non monetary assets, etc., have significant differences in accounting concept, cognition and methods, and higher requirements are put forward for the professional judgment of financial personnel in practice. On this basis, combined with the requirements of tax law, accounting law, financial accounting principle and information submission, this paper puts forward corresponding improvement suggestions.