摘要
目的:通过对住院慢性阻塞性肺疾病(COPD)患者急性加重期合并真菌感染情况的临床分析,进一步探讨COPD患者合并真菌感染危险因素。方法:回顾分析笔者所在医院2014年1月-2016年1月COPD合并真菌感染患者56例设为观察组,选取同期住院的COPD未合并真菌感染患者60例设为对照组,探讨COPD合并真菌感染的高危因素。结果:长期应用广谱抗生素、长期全身应用糖皮质激素、营养不良等是COPD患者合并真菌感染的高危因素。结论:COPD患者可合并真菌感染,合理治疗COPD维持肺功能状态避免滥用抗生素、避免长期大量应用全身糖皮质激素、改善患者的营养状态等可以减少COPD患者合并真菌感染的风险。
Objective： To explore the risk factors for funga[ infection in patients with chronic obstructive pulmonary disease（COPD） through investigation of fungal infection in patients with acute exacerbation COPD in the author＇s hospitaLMethod： A retrospective analysis was made on 56 patients with COPD complicated with fungi infection from January 2014 to January 2016 in the author＇s hospital as observation group, and 60 patients with COPD not complicated with fungi infection were set as control group in the same time. The risk factors for funasgal infection in patients with COPD were researched.Resalt： The high risk factors for fungal infection in patients with COPD were long-trem use of broad-spectrum antibiotics, systemic eorticosteroids and malnutrition.Conclusion： The patients with COPD can complicate fungal infection, reasonable treatment of COPD to step down the decrease of lung function and to avoid the misuse of antibiotics, to avoid long-term large-scale application of systemic glucocorticoids can reduce the risk of fungal infection in patients with COPD.
作者
成英
薛青
邓新宇
李树奇
CHENG Ying XUE Qing DENG Xin-yu et al(Ningde Hospital Affiliated ofFujian Medical University, Ningde352100, China)
出处
《中外医学研究》
2017年第4期9-11,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
慢性阻塞性肺疾病
真菌
高危因素
Chronic obstructive pulmonary disease
Fungus
Risk factors
