摘要
目的探讨老年重症社区获得性肺炎患者预后的危险因素。方法选取2017年12月至2020年1月我院收治的老年重症社区获得性肺炎患者115例为研究对象,收集其一般资料、临床诊断结果(血常规、生化指标等)、相关药物情况及治疗情况等,采用多因素logistic回归分析影响老年SCAP患者预后的危险因素。结果多因素logistic回归分析显示,有创机械通气、MODS、呼吸性酸中毒、低钠血症、低白蛋白血症是影响老年SCAP患者预后的独立危险因素(P<0.05)。结论临床治疗老年重症社区获得性肺炎患者期间,需加强影响预后危险因素的监控,及时发现处理,避免病情延误,从而提高治疗效果,改善生存质量。
Objective To explore the prognostic risk factors in elderly patients with severe community-acquired pneumonia.Methods To select 115 cases of elderly patients with severe community-acquired pneumonia admitted to our hospital from December 2017 to January 2020 was set as the study objects,and their general information,clinical diagnosis results(blood routine,biochemical indicators,etc.),relevant drug status and treatment status et al were collected.Multivariate logistic regression was used to analyze the risk factors affecting the prognosis of elderly SCAP patients.Results Multivariate logistic regression analysis showed that the invasive mechanical ventilation,MODS,respiratory acidosis,hyponatremia,and hypoalbuminemia were the independent risk factors affecting the prognosis of elderly SCAP patients(P<0.05).Conclusion During the clinical treatment period of elderly patients with severe community-acquired pneumonia,it wa necessary to strengthen the monitoring of risk factors affecting the prognosis,find and deal with them in time,avoid delays in the condition,and improve the treatment effect and quality of life.
出处
《护理实践与研究》
2020年第19期22-24,共3页
Nursing Practice and Research
关键词
老年患者
重症社区获得性肺炎
预后
危险因素
Elderly patients
Severe community-acquired pneumonia
Prognostic
Risk factors
