摘要
目的分析萍乡地区尘肺合并肺部感染患者的临床特征,并探究其危险因素。方法回顾性分析2022年1—12月萍乡市疾病预防控制中心收集的萍乡市某医院的190例尘肺患者的临床资料。统计尘肺患者肺部感染发生情况,比较肺部感染患者与非肺部感染患者的临床资料比较,多因素Logistic回归分析尘肺合并肺部感染的影响因素。结果190例尘肺患者中,合并肺部感染患者66例,占比34.74%。肺部感染患者糖尿病、工作年限、限制型通气障碍、混合型通气障碍、小阴影、大阴影、支气管扩张占比比较差异有统计学意义(P<0.05)。Logistic回归分析结果显示,糖尿病、工作年限、混合型通气障碍、小阴影、大阴影、支气管扩张均为尘肺患者合并肺部感染的独立危险因素(OR>0,P<0.05)。结论尘肺病合并肺部感染患者中,糖尿病史占比更高、工作年限更长、病情更严重,且多表现为混合型通气障碍,更易并发支气管扩张,因此,糖尿病、工作年限、混合型通气障碍、小阴影、大阴影及支气管扩张是萍乡地区尘肺患者合并肺部感染的独立危险因素。
Objective To analyze the clinical characteristics of patients with pneumoconiosis complicated with pulmonary infection in Pingxiang area and explore its risk factors.Methods The clinical data of 190 pneumoconiosis patients in a hospital in Pingxiang City collected by Pingxiang Center for Disease Control and Prevention from January to December 2022 were retrospectively analyzed.The incidence of pulmonary infection was counted,and the clinical data of patients with and without pulmonary infection were compared.Multivariate Logistic regression was used to analyze the influencing factors of pneumoconiosis complicated with pulmonary infection.Results Among the 190 pneumoconiosis patients,66 were complicated with pulmonary infection,accounting for 34.74%.There were statistically significant differences in the proportions of diabetes,working years,restrictive ventilatory disorder,mixed ventilatory disorder,small shadows,large shadows,and bronchiectasis between patients with and without pulmonary infection(P<0.05).Logistic regression analysis showed that diabetes,working years,mixed ventilatory disorder,small shadows,large shadows,and bronchiectasis were independent risk factors for pulmonary infection in patients with pneumoconiosis(OR>0,P<0.05).Conclusion Patients with pneumoconiosis complicated by pulmonary infection are more likely to have diabetes,have longer working years,more severe disease conditions and are more likely to present with mixed ventilatory disorder and bronchiectasis,therefore,diabetes,working years,mixed ventilatory disorder,small shadows,large shadows,and bronchiectasis are independent risk factors for pulmonary infection in patients with pneumoconiosis in Pingxiang area.
作者
邓宇梁
甘妞琴
陈功
DENG Yuliang;GAN Niuqin;CHEN Gong(Department of Occupational Health,Pingxiang Center for Disease Control and Prevention,Pingxiang,Jiangxi,337000,China;Department of Medical,Pingxiang General Hospital,Pingxiang,Jiangxi,337000,China)
出处
《当代医学》
2025年第8期129-132,共4页
Contemporary Medicine
关键词
尘肺
肺部感染
临床特征
危险因素
Pneumoconiosis
Pulmonary infection
Clinical characteristics
Risk factors
