本文選題：急性下呼吸道感染　切入點(diǎn)：老年　出處：《中華醫(yī)院感染學(xué)雜志》2017年11期 　論文類型：期刊論文

【摘要】：目的探討急性下呼吸道感染對(duì)老年穩(wěn)定性冠心病患者心血管事件發(fā)生的影響。方法選擇醫(yī)院2012年5月-2016年5月老年穩(wěn)定性冠心病合并急性下呼吸道感染患者156例為感染組,另選擇同期老年穩(wěn)定性冠心病不合并急性下呼吸道感染患者156例為對(duì)照組。收集患者臨床資料及3個(gè)月內(nèi)心血管事件的發(fā)生情況。結(jié)果感染組高血壓病、慢性阻塞性肺疾病、慢性腎臟病、貧血的分布率高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05),感染組左室射血分?jǐn)?shù)低于對(duì)照組(P0.05),感染組C-反應(yīng)蛋白、尿素氮水平高于對(duì)照組(P0.05);感染組心血管事件的發(fā)生率和全因死亡率均高于對(duì)照組(P0.05);心血管事件中,感染組新發(fā)心房顫動(dòng)的發(fā)生率高于對(duì)照組(P0.05);心血管事件患者慢性阻塞性肺疾病、慢性腎臟病、心率≥125次/分、呼吸≥24次/分的發(fā)生率高于非心血管事件患者(P0.05),心血管事件患者左室射血分?jǐn)?shù)低于非心血管事件患者(P0.05),心血管事件患者C-反應(yīng)蛋白、尿素氮水平高于非心血管事件患者(P0.05);logistic多因素回歸分析顯示:急性下呼吸道感染、慢性腎臟病、心率≥125次/分、呼吸≥24次/分是穩(wěn)定性冠心病心血管事件的獨(dú)立影響因素(P0.05)。結(jié)論急性下呼吸道感染增加老年穩(wěn)定性冠心病心血管事件的發(fā)生率及全因死亡率,是老年穩(wěn)定性冠心病心血管事件的獨(dú)立影響因素。
[Abstract]:Objective to investigate the effect of acute lower respiratory tract infection on cardiovascular events in elderly patients with stable coronary heart disease. Methods 156 patients with stable coronary heart disease complicated with acute lower respiratory tract infection from May 2012 to May 2016 were selected as infection group. In addition, 156 elderly patients with stable coronary heart disease without acute lower respiratory tract infection were selected as control group. The clinical data of the patients and the occurrence of cardiovascular events within 3 months were collected. Results Hypertension, chronic obstructive pulmonary disease (COPD) were observed in the infected group. The distribution rate of anemia in chronic kidney disease was higher than that in control group (P 0.05). The left ventricular ejection fraction (LVEF) in infected group was lower than that in control group (P 0.05). The level of urea nitrogen was higher than that of the control group (P 0.05), the incidence of cardiovascular events and the death rate of all causes in the infected group were higher than those in the control group (P 0.05). The incidence of new atrial fibrillation in the infection group was higher than that in the control group (P 0.05), chronic obstructive pulmonary disease, chronic kidney disease, heart rate 鈮，

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