摘要
目的了解老年糖尿病医院获得性肺炎的流行病学特征及危险因素。方法以2020年10月至2023年10月于西部战区总医院住院治疗的老年糖尿病患者作为研究对象,分析医院获得性肺炎的流行病学特征,分析影响老年糖尿病医院获得性肺炎的危险因素。结果388例老年糖尿病患者发生医院获得性肺炎65例,发生率为16.75%,其中男性占比56.92%,女性占比43.08%,年龄≥80岁患者的患病比例高于年龄<80岁患者。两组间性别、体质量指数、受教育程度、糖尿病病程、吸烟史、饮酒史、合并高血压、冠心病、贫血比较差异无统计学意义(P>0.05);两组年龄、住院时间、气管侵入性操作、抗菌药物使用种类、吞咽障碍比较差异有统计学意义(P<0.05);logistic多因素分析显示,年龄≥80岁、住院时间≥30 d、有气管侵入性操作、使用抗菌药物≥2种、存在吞咽障碍是老年糖尿病患者发生医院获得性肺炎的独立危险因素(P<0.05)。结论老年糖尿病患者发生医院获得性肺炎的风险较高,年龄≥80岁、住院时间≥30 d、存在气管侵入性操作、滥用抗菌药物、合并吞咽障碍患者是高发人群,应对此类患者采取积极的干预措施。
Objective To understand the epidemiological characteristics and risk factors of hospital-acquired pneumonia in elderly diabetic patients.Methods Elderly patients with diabetes mellitus who were hospitalized in the hospital were selected from October 2020 to October 2023 as the research subjects.The epidemiological characteristics of hospital-acquired pneumonia were analyzed,and the risk factors affecting hospital-acquired pneumonia in elderly patients with diabetes mellitus were analyzed.Results There were 65 cases of hospital-acquired pneumonia in 388 elderly patients with diabetes mellitus,with an incidence of 16.75%,of which 56.92%were males and 43.08%were females.The proportion of patients aged≥80 years was higher than that of patients aged<80 years.There were no significant differences in gender,body mass index,education level,course of diabetes mellitus,smoking history,drinking history,hypertension,coronary heart disease and anemia between groups(P>0.05),but significant differences were shown in age,hospitalization time,tracheal invasive operation,types of antibacterial drug use and dysphagia between both groups(P<0.05).Logistic multivariate analysis showed that age≥80 years old,hospitalization time≥30 d,tracheal invasive operation,use of antibacterial drugs≥2 types,and dysphagia were independent risk factors for hospital-acquired pneumonia in elderly diabetic patients(P<0.05).Conclusion The risk of hospital-acquired pneumonia is high in elderly patients with diabetes mellitus.Patients with age≥80 years old,hospitalization time≥30 days,tracheal invasive operation,abuse of antibacterial drugs and dysphagia are high-risk population.It is necessary to take active intervention measures for such patients.
作者
于欢
倪阵
段玲
李红永
YU Huan;NI Zhen;DUAN Ling;LI Hongyong(Department of Infection,General Hospital of Western Theater Command,Chengdu,Sichuan 610000,China)
出处
《公共卫生与预防医学》
2025年第5期159-162,共4页
Journal of Public Health and Preventive Medicine
基金
四川省自然科学基金(203NSFSC0742)。
关键词
糖尿病
医院获得性肺炎
流行病学特征
Diabetes mellitus
Hospital-acquired pneumonia
Epidemiological characteristics
