摘要
目的探讨老年人社区获得性肺炎的相关危险因素。方法选取榆社县人民医院2013年1月—2015年6月收治的社区获得性肺炎老年患者80例作为观察组,同期住院的非肺炎患者80例作为对照组,分析老年人社区获得性肺炎发生的危险因素。结果观察组临床表现主要包括肺部啰音、咳嗽咳痰、胸闷气促、发热、消化道症状等,两组患者吸烟、呼吸系统疾病、脑血管疾病、糖尿病、恶性肿瘤、心力衰竭、吸入制剂应用率比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,吸烟、呼吸系统疾病、脑血管疾病、糖尿病、恶性肿瘤与老年人社区获得性肺炎发生有回归关系(P<0.05)。结论老年人社区获得性肺炎的常见危险因素包括吸烟、呼吸系统疾病、脑血管疾病、糖尿病、恶性肿瘤等。
Objective To explore the risk factors of community- acquired pneumonia in the elderly. Methods A total of 80 cases of patients with community- acquired pneumonia were chosen from January 2013 to June 2015 in the People’ s Hospital of Yushe County as observation group,80 patients without pneumonia at the same periods were selected as control group. The risk factors of the community- acquired pneumonia in the elderly was analysed. Results The clinical manifestation of observation group included the pulmonary rales,cough and expectoration,chest distress and polypnea,fever,gastrointestinal symptoms and so on. There were statistically significant differences in smoking,respiratory system disease,cerebrovascular disease,diabetes mellitus,malignant tumor,heart failure,inhaled preparation( P < 0. 05). Multivate Logistic regression multiple analysis showed that the smoking,respiratory system disease,cerebrovascular disease,diabetes mellitus,malignant tumor had regression relation with community- acquired pneumonia in the elderly( P < 0. 05). Conclusion The common risk factors of community- acquired pneumonia include smoking,respiratory system disease,cerebrovascular disease,diabetes mellitus,malignant tumor.
出处
《临床合理用药杂志》
2016年第18期35-36,48,共3页
Chinese Journal of Clinical Rational Drug Use
