老年护理医院院内获得性肺炎185例分析

目的作者调查上海市卢湾区老年护理医院院内获得性肺炎(HAP)的发病情况和探讨其防治措施。方法回顾性调查了2008年1月至2011年12月的4年期间在卢湾区老年护理医院发病的185例HAP患者的临床资料,分析患者的中、重度基础疾病,发生HAP的危险因素和致病菌情况等。结果①HAP发生率为8.5%(185/2164例),死亡率为31.89%(59/185例)。②HAP的主要危险因素为年龄>70岁、中风后遗症、营养不良、晚期肿瘤、慢性阻塞性肺病(COPD)等。③主要致病菌为肠杆菌族,铜绿假单胞菌,草绿色链球菌+奈瑟菌及金黄色葡萄球菌等。结论老年护理医院院的HAP易发生于年龄>70岁,有中、重度基础疾病的患者,死亡率高,其主要致病菌为革兰阴性(G-)杆菌。治疗原则是提高机体免疫力,积极治疗基础病和有效抗炎。

Hospitalized acquired pneumonia in Nursing Hospital

Objective To evaluate the Hospital Acquired Pneumonia(HAP)in Nursing Hospital and to find the way of prophylaxis and treatment.Methods A retrospective study was carried out to study the clinical date of 185 patients of HAP in the total 2164 in hospital patients from January 2008 to December 2011,and analyze different basic disease,risk factors of HAP and discuss the way of prophylaxis and treatment.Results The morbidity of HAP is 8.54% and the mortality is 31.89%.The main risk factors of HAP is venerable age,sequela of stroke,m later period tumor,COPD,diabetes,lacking nutrition,chronic heart failure fracture of thighbone etc.The main pathogenic bacteria is intestines bacillus and so on.Conclusion The HAP is easy to happen in aged and the patients with medium to serious disease.The mortality of HAP is high.The main pathogenic bacteria is G-