摘要
目的：分析老年COPD患者并发肺部感染的影响因素及具体预防对策探讨。方法：选取某院2012年2月~2015年4月收治的120例老年COPD并发肺部感染患者,按照患者的肺部感染情况分为感染组和对照组,感染组38例,对照组82例,对比两组患者的临床资料,分析影响老年COPD患者并发肺部感染的影响因素,并就两组患者的病原学展开分析,讨论如何预防老年COPD患者并发肺部感染。结果：120例患者中发现38例有并发肺部感染情况,发生率为31.67%,对其资料分析发现,这些患者大多拥有糖尿病史,进行过机械通气,而所有患者均受过长期的激素治疗,长期服用了抗菌药物,这些都是导致老年COPD患者并发肺部感染的危险因素。结论：长期的激素治疗,长期服用抗菌药物对于老年COPD患者并发肺部感染有明显的影响,所以,我们必须采取有效的排痰方法、进一步规范抗菌药物的应用、实施营养支持等方式,来改善患者的免疫功能,降低被感染的机率,改善患者的生活质量。
Objective：To investigate the influencing factors causing elderly patients with COPD lung infection and specific preventive measures.Methods：120cases of elderly patients with COPD pulmonary infection treated in a hospital from February 2012 to April 2015 were divided into infected group and control group according to the patient＇s lung infection,infection group of 38 patients and 82 cases in the control group.Then compare clinical data of the two groups and analyze the impact factors in elderly patients with COPD lung infection.And research the etiology of the two groups,and finally discuss how to prevent elderly COPD patients with pulmonary infection.Results：In 120 patients,it was found that 38 cases had pulmonary infection,the rate was 31.67%.According to its data analysis,it was found that most of these patients have a history of diabetes,treated with mechanical ventilation,and all patients were subject to long-term hormone therapy,long-term use of antimicrobial drugs,which were the elderly COPD patients with pulmonary infection risk factors.Conclusion：Long-term hormone therapy,long-term use of antibiotics pulmonary infection have a significant impact for the elderly COPD patients,so we must take effective expectoration method further to regulate the use of antimicrobial drugs,the implementation of nutritional support,etc.,to improve patient＇s immune function,reduce the chances of infection,improve the quality of life of patients.
出处
《数理医药学杂志》
2016年第8期1235-1236,共2页
Journal of Mathematical Medicine
