摘要
目的:通过病案首页信息研究股骨近端骨折住院患者肺部感染的影响因素。方法:从中国中医科学院望京医院病案首页信息系统数据库中,提取2003年1月1日至2016年12月31日的所有股骨近端骨折患者首页信息,对信息进行核查、清洗,将可利用的信息建立Excel数据库。通过复杂网络的方式进行数据挖掘,找出与肺部感染关联紧密的数据,运用Logistic回归将有价值的信息进行单因素二元回归分析,对与肺部感染的相关性的因素做Logistic多因素二元回顾分析,找出股骨近端骨折患者首页信息中与肺部感染的相关影响因素。结果:在Logistic多因素二元回归中:年龄、住院天数、慢性呼吸系统疾病、使用中草药是是肺部感染密切相关影响因素(P <0.05)。年龄越高、住院天数越长、合并慢性呼吸系统疾病。在并发肺部感染病例的治疗中,广泛的使用中草药来治疗。结论:在条件允许前提下对股骨近端骨折患者应缩短住院时间或提早手术,对于高龄患者、合并慢性呼吸系统疾病的患者,尽早预防来避免肺部感染的发生,提倡患者使用中草药进行预防、治疗肺部感染,即中西医结合防治肺部感染。
Objective: To research lung infection related factors in proximal femoral fractures inpatient according to thehome page of its medical cases. Methods: The medical home pages of entire proximal femoral fracture cases from January1, 2003 to December 31 was extracted from the database of Chinese Academy of Traditional Chinese Medicine WangjingHospital. s medical information system. The information is verified and cleaned to build an Excel database with allavailable information. Logistic multivariate binary analysis was used to identify the related risk factors of pulmonaryinfection. The age of patients, the admission duration, chronic respiratory disease and using of traditional Chinese herbsare all closely related to pulmonary infection. Results: Logistic multivariate binary review found that the factors affectinglung infection were age, length of hospitalization days, chronic respiratory diseases, and whether to use of Chinese herbalmedicine. Conclusion: Under the premise conditions, patients with proximal femoral fractures should be allow to shortenthe length of time or early surgery. For elderly patients, and patients with chronic respiratory diseases, measures shouldbe taken as early as possible to prevent the onset of lung infection. The use of Chinese herbal medicine for prevention andtreatment of pulmonary infection is recommended, namely the combination of Traditional Chinese Medicine and westernmedicine in prevention and treatment of pulmonary infection.
作者
孙研
陈红玉
魏戌
王浩
文腾
张兴平
Sun Yan;Cheng Hongyu;Wei Xu;Wang Hao;Wen Teng;Zhang Xingping(Wangjing Hospital, China Academy of Chinese Medical Science, Beijing 100102, China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2018年第12期2269-2275,共7页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
国家中医药管理局2014年中医药行业科研专项(201407001-13):国家中医药数据中心关键技术研究
负责人:刘保延
关键词
股骨近端骨折
肺部感染
并发症
影响因素
病案首页
复杂网络
Proximal femoral fracture
pulmonaryinfection
complication
influence factors
medical home page
