老年患者术后重症肺炎的临床分析
发布时间：2018-09-06 13:28
【摘要】：目的探讨老年患者术后重症肺炎的临床特点及其易感因素,为临床防治提供参考。方法回顾性分析医院2009年4月-2013年4月收治的1 132例择期行外科手术的老年患者的临床资料,根据重症肺炎发生情况,分为重症肺炎组23例和非重症肺炎组1 109例。结果共有23例患者发生重症肺炎,发生率为2.03%;共分离病原菌36株,其中革兰阴性菌21株占58.33%,革兰阳性菌11株占30.56%,真菌4株占11.11%;重症肺炎患者吸烟史、既往肺部疾病、鼻胃管留置和再插管构成比均比非重症肺炎患者高,且重症肺炎患者的年龄、手术时间和机械通气时间均高于非重症肺炎患者,差异有统计学意义(P0.05)。结论针对易感因素,采取积极有效的防治措施,合理使用抗菌药物,可有效降低老年患者术后重症肺炎发生率。
[Abstract]:Objective To explore the clinical characteristics and susceptibility factors of severe pneumonia in elderly patients after operation, and to provide reference for clinical prevention and treatment.Methods The clinical data of 1 132 elderly patients who underwent selective surgery from April 2009 to April 2013 were retrospectively analyzed.According to the occurrence of severe pneumonia, 23 cases of severe pneumonia and 23 cases of non-severe pneumonia were divided into two groups. Results A total of 23 patients with severe pneumonia, the incidence of 2.03%; a total of 36 isolates of pathogenic bacteria, including gram-negative bacteria 21 strains accounted for 58.33%, Gram-positive bacteria 11 strains accounted for 30.56%, fungi 4 strains accounted for 11.11%; severe pneumonia patients smoking history, previous lung diseases, nasogastric tube indwelling and re-intubation were higher than non-severe pneumonia patients, and The age, operation time and mechanical ventilation time of severe pneumonia patients were higher than those of non-severe pneumonia patients, and the difference was statistically significant (P 0.05).
【作者单位】： 衢州常山人民医院内一科;
【基金】：浙江省衢州市科技基金资助项目(20102063)
【分类号】：R563.1
，
本文编号：2226483
[Abstract]:Objective To explore the clinical characteristics and susceptibility factors of severe pneumonia in elderly patients after operation, and to provide reference for clinical prevention and treatment.Methods The clinical data of 1 132 elderly patients who underwent selective surgery from April 2009 to April 2013 were retrospectively analyzed.According to the occurrence of severe pneumonia, 23 cases of severe pneumonia and 23 cases of non-severe pneumonia were divided into two groups. Results A total of 23 patients with severe pneumonia, the incidence of 2.03%; a total of 36 isolates of pathogenic bacteria, including gram-negative bacteria 21 strains accounted for 58.33%, Gram-positive bacteria 11 strains accounted for 30.56%, fungi 4 strains accounted for 11.11%; severe pneumonia patients smoking history, previous lung diseases, nasogastric tube indwelling and re-intubation were higher than non-severe pneumonia patients, and The age, operation time and mechanical ventilation time of severe pneumonia patients were higher than those of non-severe pneumonia patients, and the difference was statistically significant (P 0.05).
【作者单位】： 衢州常山人民医院内一科;
【基金】：浙江省衢州市科技基金资助项目(20102063)
【分类号】：R563.1
，
本文编号：2226483
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