摘要
目的了解老年患者冠心病肺炎衣原体感染的发生率,探究肺炎衣原体在老年冠心病发生中所起的作用。方法选取84例老年冠心病患者,并且以同期80例非冠心病老年患者作为对照组,检测患者血清肺炎衣原体Ig G抗体及C反应蛋白(CRP),分析肺炎衣原体抗体阳性率及CRP水平与老年患者冠心病发生之间的关系。结果冠心病组患者肺炎衣原体的感染率为79.76%,明显高于对照组47.50%(χ2=18.51,P<0.05)。冠心病组患者CRP水平为(4.52±2.78)mg/L,明显高于对照组CRP水平(1.73±2.32)mg/L,差异有统计学意义(F=5.32,P<0.05)。在冠心病患者中,肺炎衣原体抗体阳性患者的CRP水平为(6.87±3.25)mg/L,明显高于肺炎衣原体抗体阴性患者(2.05±2.45)mg/L,两组之间差异有统计学意义(F=8.73,P<0.05)。而在对照组中肺炎衣原体阳性患者与肺炎衣原体阴性患者CRP水平之间差异无统计学意义(F=0.68,P>0.05)。结论老年患者冠心病的发生与肺炎衣原体感染存在一定的相关性。
Objective To observe the incidence rate and severity of chlamydia pneumonia infection amongst elder pa-tients, to investigate the influence of chamydia pneumonia in the coronary heart disease. Methods A total of 84 elder pa-tients with coronary heart disease were selected as the coronary heart disease group and another 80 elder patients without coronary heart disease were selected as the control group. Chamydia pneumonia IgG and CRP were detected; relationship between the IgG positive rate, CRP concentration and coronary heart disease were analyzed. Results The infection rate of chamydia pneumonia amongst coronary heart disease group was significantly higher than the control group （79.76% vs 47.50%;χ2=18.51,P〈0.05）. The CRP concentration of the coronary heart disease group（4.52±2.78）mg/L was significantly higher than that of the control group （1.73±2.32）mg/L（F=5.32, P〈0.05）. Amongst the coronary heart disease group, the CRP concentration of chamydia pneumonia IgG positive patients （6.87±3.25） mg/L was significantly higher than that of the negative patients（2.05±2.45 ）mg/L（F=8.73, P〈0.05）. However, there was no significantly difference in the control group （F=0.68, P〉0.05）. Conclusions There was a close relationship between the chlamydia pneumonia infection and coro-nary heart disease amongst the elder patients.
出处
《全科医学临床与教育》
2015年第3期278-279,287,共3页
Clinical Education of General Practice
关键词
老年患者
冠心病
肺炎衣原体感染
elder patient
coronary heart disease
chlamydia pneumonia infection
