尿毒症患者肺部感染的危险因素分析

发布时间：2018-06-27 17:14

本文选题：尿毒症 + 肺部感染　；参考：《中华医院感染学杂志》2015年14期

【摘要】：目的探讨尿毒症患者发生肺部感染的危险因素,达到早期预防目的。方法选取2012年3月-2014年9月接受治疗的63例尿毒症发生肺部感染患者作为观察组,另选取同时期接受治疗的50例无肺部感染的尿毒症患者作为对照组,回顾性分析两组患者血清白蛋白、球蛋白、血红蛋白、C-反应蛋白和血清肌酐含量,统计分析两组患者住院时间。结果观察组患者血清白蛋白和血红蛋白含量显著低于对照组患者,观察组患者营养状况较差,感染严重,与对照组比较差异有统计学意义(P0.05);观察组患者C-反应蛋白及血清肌酐迅速上升,住院时间较长,明显高于对照组患者,两组比较差异有统计学意义(P0.05);观察组患者随着年龄增大,感染率也随之升高,组间比较差异有统计学意义(P0.05)。结论随着年龄增长、肾脏功能减弱、营养状况不良和住院时间过长等,是引起尿毒症患者并发肺部感染的高危因素,及早做好相关预防工作,有利于患者病情恢复。
[Abstract]:Objective to investigate the risk factors of pulmonary infection in uremic patients. Methods from March 2012 to September 2014, 63 uremic patients with pulmonary infection were selected as observation group, and 50 uremic patients without pulmonary infection received treatment in the same period as control group. The contents of serum albumin, globulin, hemoglobin C reactive protein and serum creatinine were analyzed retrospectively. Results the levels of serum albumin and hemoglobin in the observation group were significantly lower than those in the control group. The nutritional status of the patients in the observation group was poor and the infection was serious. Compared with the control group, there was significant difference (P0.05); the C- reactive protein and serum creatinine in the observation group increased rapidly, the hospitalization time was longer than that in the control group, the difference between the two groups was statistically significant (P0.05); the patients in the observation group increased with age. The infection rate also increased, the difference between groups was statistically significant (P0.05). Conclusion with the increase of age, kidney function is weakened, nutrition condition is poor and hospital stay is too long. It is a high risk factor for uremia patients to complicated with pulmonary infection. It is beneficial to the recovery of patients' condition to do the relevant prevention work well as soon as possible.
【作者单位】：华中科技大学医院内科;江汉大学附属医院肾内科;江汉大学;
【基金】：湖北省科技厅计划基金资助项目(HB20130006D)
【分类号】：R692.5

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