血管性痴呆患者并发肺部感染现状及其影响因素研究

发布时间：2018-03-18 19:35

本文选题：血管性痴呆　切入点：肺部感染　出处：《中华医院感染学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的分析血管性痴呆患者并发肺部感染现状及其影响因素,为该类患者肺部感染的控制提供参考依据。方法选择2014年1月-2016年8月血管性痴呆患者86例为研究对象,对发生肺部感染的进行统计,并比较不同性别、年龄、基础疾病、吸烟史、饮酒史、营养状态、住院时间、免疫状态、抗菌药物应用及侵入性操作等的血管性痴呆患者的肺部感染率,采用logistic回归分析处理上述因素与患者肺部感染的关系。结果 86例患者中肺部感染15例,感染率为17.44%,其中女性、年龄较高、并发基础疾病、有吸烟史、有饮酒史、营养状态较差、住院时间较长、免疫状态较差、未应用抗菌药物及进行侵入性操作治疗患者的肺部感染率明显高于男性、年龄较低、无基础疾病、无吸烟史、无饮酒史、营养状态较好、住院时间较短、免疫状态较好、应用抗菌药物及未进行侵入性操作的患者,经logistic回归分析显示,上述因素均是肺部感染的危险因素(P0.05)。结论血管性痴呆患者的肺部感染率较高,且其发生的影响因素较多,因此应根据患者自身情况给予针对性的预防与治疗。
[Abstract]:Objective to analyze the present situation of pulmonary infection in vascular dementia patients and its influencing factors, and to provide reference for the control of pulmonary infection in vascular dementia patients. Methods 86 patients with vascular dementia from January 2014 to August 2016 were selected as study objects. To compare the incidence of pulmonary infection with sex, age, underlying disease, smoking history, drinking history, nutritional status, length of stay in hospital, immune status, The pulmonary infection rate of vascular dementia patients using antimicrobial agents and invasive manipulation was analyzed by logistic regression analysis. Results there were 15 cases of pulmonary infection in 86 cases, and the infection rate was 17.44%. The patients with advanced age, complicated with basic diseases, smoking history, drinking history, poor nutritional status, long stay in hospital, poor immune state, the lung infection rate of the patients without antimicrobial agents and invasive operation were significantly higher than that of men. The patients with lower age, no underlying diseases, no smoking history, no drinking history, good nutritional status, shorter hospitalization time and better immune status, who were treated with antimicrobial agents and did not perform invasive operation, were analyzed by logistic regression analysis. Conclusion the pulmonary infection rate of vascular dementia patients is higher, and there are many influencing factors, so the prevention and treatment should be given according to the patients' own situation.
【作者单位】：杭州市第七人民医院老年科;浙江省立同德医院老年科;杭州市第一人民医院心内科;
【基金】：杭州市科技计划项目医疗卫生基金资助项目(20130633B11)
【分类号】：R563.1;R749.13

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