本文選題：醫(yī)院獲得性肺炎 + 慢性阻塞性肺疾病　； 參考：《江蘇醫(yī)藥》2014年22期

【摘要】：目的探討慢性阻塞性肺疾病(COPD)患者醫(yī)院獲得性肺炎(HAP)的危險(xiǎn)因素。方法回顧性分析COPD合并HAP患者43例(病例組)和COPD未發(fā)生HAP患者77例(對(duì)照組)的臨床資料。采用單因素分析及多因素Logistic回歸分析COPD患者HAP的相關(guān)危險(xiǎn)因素。結(jié)果單因素分析篩選出HAP的8項(xiàng)可能危險(xiǎn)因素:年齡≥75歲、入住呼吸科重癥監(jiān)護(hù)病房(RICU)、住院時(shí)間超過(guò)30d、呼吸衰竭、低蛋白血癥、氣管插管機(jī)械通氣、全身激素的應(yīng)用、先前應(yīng)用2種廣譜抗生素。多因素Logistic回歸分析顯示,先前應(yīng)用2種廣譜抗生素、全身激素的應(yīng)用、入住RICU是COPD患者HAP的獨(dú)立危險(xiǎn)因素。結(jié)論合理應(yīng)用激素及抗菌藥物,加強(qiáng)RICU管理是降低呼吸科病房COPD患者HAP發(fā)生的關(guān)鍵。
[Abstract]:Objective to investigate the risk factors of hospital acquired pneumonia (HAP) in patients with chronic obstructive pulmonary disease (COPD). Methods the clinical data of 43 cases of COPD with HAP and 77 cases of COPD without HAP (control group) were retrospectively analyzed. Univariate analysis and multivariate logistic regression analysis were used to analyze the risk factors of HAP in COPD patients. Results eight possible risk factors for HAP were screened by univariate analysis: age 鈮，

本文編號(hào)：2053914