摘要
目的分析社区老年糖尿病伴肺部感染的特点,探讨其防治措施。方法将196例老年肺部感染按有无糖尿病分为糖尿病组和非糖尿病组,对照分析其实验室检查、病原菌分布特点,治疗及转归等比值差异。结果糖尿病组低氧血症、电解质紊乱的发生率明显高于非糖尿病组,差异有显著性(P<0.01)。糖尿病组以G-杆菌感染为主,非糖尿病组以G+球菌感染为主。糖尿病组的平均住院天数及死亡率均明显高于非糖尿病组(P<0.01)。结论老年糖尿病患者由于免疫功能低下等原因易发生肺部感染,防治本病的关键是控制血糖,有效应用抗生素。
Objective To analyze the clinical characteristics of diabetes mellltus（DM） complicated with lung infection among elderly patients and explore the measures for prevention and treatment of the disease. Methods 196 elderly patients with lung infections were divided into diabetes group an nondiabetes group according to whether suffering from diabetes mellitus, and the results of laboratory tests, distribution of pathogen, treatment and prognosis were analyzed. Results The incidences of hypoxemla, elec- trolyte disorder in diabetes group were significantly higher than that in non - diabetes group. The infections were caused mainly by Gram- negative bacilli in diabetes group, but by Gram - positive bacilli, in non- diabetes group. The average admission days and mortality were higher in diabetes group than in non diabetes group, Conclusion The immune function in elderly patients with diabetes mellitus is lower and subject to lung infection. The key measures for prevention and treatment of elderly diabetes mellitus complicated with lung infection are control ling the level of blood glucose and application of effective antibiotics.
出处
《中国热带医学》
CAS
2006年第9期1604-1605,共2页
China Tropical Medicine
关键词
糖尿病
肺部感染
老年
Elderly diabetes mellitus patients
Lung infection
Prevention and treatment
