摘要
目的:探讨影响急诊高龄肺部感染患者预后相关危险因素,为其防治提供临床依据。方法:随机选择2012-01-2015-07急诊高龄患者264例,其中急诊高龄肺部感染患者124例作为观察组,未出现肺部感染高龄患者140例作为对照组。采用回顾性研究,分析急诊高龄肺部感染患者相关影响因素并进行Logstic回归分析。结果:观察组患者年龄和体温分别为(69.31±5.26)岁和(39.20±2.32)℃,均高于对照组患者,差异具有统计学意义(P<0.05);观察组患者糖尿病、恶性肿瘤、脑卒中、COPD、意识障碍、侵入性操作、多发损伤等患病率为43.55%(54/124)、30.65%(38/124)、45.16%(56/124)、35.48%(44/124)、22.58%(28/124)、46.77%(58/124)和37.10%(46/124),均高于对照组,差异具有统计学意义(P<0.05);观察组患者血清白蛋白为(31.98±5.23)g/L,低于对照组患者,差异有统计学意义(P<0.05)。患者年龄≥70岁、高血压病、糖尿病、恶性肿瘤、脑卒中、COPD、体温≥38.5℃、意识障碍、侵入性操作、多发损伤、血清白蛋白<40g/L的肺部感染发生均显著升高,差异具有统计学意义(P<0.05)。结论:影响急诊高龄肺部感染患者预后的主要危险因素有年龄、高血压、糖尿病、恶性肿瘤、脑卒中、体温、意识障碍、COPD,肾功能减退、侵入性操作、多发损伤和血清白蛋白等,并呈相关性。
Objective：To explore the prognosis risk factors of the elderly patients with emergency pulmonary infection,and to provide clinical evidence for its prevention and treatment.Method：Two hundred and sixty-four elderly patients in emergency randomly were selected from January in 2012 to July in 2015,124 elderly patients with emergency pulmonary infection as the observation group and 140 elderly patients with emergency pulmonary noninfection were as the control group.A retrospective study was conducted to analyze the influential factors of elderly patients with emergency pulmonary infection and Logstic regression analysis.Result：The age and the temperature of the observation group were（69.31±5.26）years old and（39.20±2.32）℃respectively,which were higher than that of the control group,the difference was statistically significant（P〈0.05）.The prevalence rate of diabetes,cancer,stroke,disorder of consciousness obstacle,COPD,renal function decline,invasive operation and multiple injuries of the observation group was 43.55%（54/124）,30.65%（38/124）,45.16%（56/124）,35.48%（44/124）,22.58%（28/124）,46.77%（58/124）and 37.10%（46/124）,which were higher than the control group,the difference was statistically significant（P〈0.05）.The serum albumin of the observation group was（31.98±5.23）g/L,which was lower than the control group,the difference was statistically significant（P〈0.05）.The pulmonary infection of the age≥70years old,hypertension,diabetes,cancer,stroke,COPD,body temperature≥38.5℃,consciousness disturbance,invasive procedures,multiple injuries,serum albumin 40g/L were significantly high,and the difference was statistically significant（P〈0.05）.Conclusion：The elderly emergency pulmonary infection is a major risk factor for the prognosis of patients with age,hypertension,diabetes,malignancy,stroke,body temperature,disturbance of consciousness,intrusive operation,multiple injuries and serum albumin etc,and were correlated.
出处
《临床急诊杂志》
CAS
2016年第7期521-523,528,共4页
Journal of Clinical Emergency
