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老年肺部感染的临床特点及危险因素分析 被引量:14

Clinical characteristics and risk factors for pulmonary infections in elderly patients
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摘要 目的探讨老年肺部感染的临床特点及危险因素,并提出相应的预防对策。方法选取2008年1月-2011年7月在医院进行治疗的112例肺部感染患者为研究对象,将其临床特点、高危因素及预防对策进行相应的调查研究。结果 112例患者主要以发热、咳嗽、咳痰及肺部啰音为主要表现,且冬春季节发病率最高,其中>80岁者发生率为8.36%,高于≤80岁患者的6.42%,并发≥2种基础疾病者为8.87%,高于并发1种疾病的患者的6.42%,侵入性治疗患者占9.84%,高于无侵入性操作者的6.27%,差异均有统计学意义,所有患者经治疗均痊愈。结论老年肺部感染的危险因素包括年龄、合并基础疾病及有无侵入性操作,给予正确治疗可显著改善。 OBJECTIVE To explore the clinical characteristics and risk factors for pulmonary infections in the elderly patients so as to put forward corresponding prevention countermeasures.METHODS A total of 112 patients with pulmonary infections who enrolled hospital from Jan 2008 to Jul 2011 were chosen as the research objects.The clinical features,risk factors and preventive measures were taken for appropriate investigation.RESULTS The fever,cough,sputum and pulmonary rales were the main clinical performance of the 112 patients,and the highest incidence was in winter and spring,the incidence of the patients with 80 years of age or older was 8.36%,higher than that of the patients less than 80 years old,the patients complicated by two or more than two underlying diseases accounted for 8.87%,higher than that of the patients with one underlying disease,the patients undergoing invasive treatment accounted for 9.84%,high than that of the patients without undergoing invasive treatment,the differences were statistically significant,all the patients were cured after the treatment.CONCLUSION The age,underlying diseases,and invasive operation are the risk factors for the pulmonary infections in the elderly patients,which can be significantly improved after the appropriate treatment.
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2012年第21期4733-4734,共2页 Chinese Journal of Nosocomiology
关键词 肺部感染 临床特征 危险因素 Pulmonary infection Clinical features Risk factors
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