【摘要】：目的探討老年患者術(shù)后重癥肺炎的臨床特點(diǎn)及其易感因素,為臨床防治提供參考。方法回顧性分析醫(yī)院2009年4月-2013年4月收治的1 132例擇期行外科手術(shù)的老年患者的臨床資料,根據(jù)重癥肺炎發(fā)生情況,分為重癥肺炎組23例和非重癥肺炎組1 109例。結(jié)果共有23例患者發(fā)生重癥肺炎,發(fā)生率為2.03%;共分離病原菌36株,其中革蘭陰性菌21株占58.33%,革蘭陽性菌11株占30.56%,真菌4株占11.11%;重癥肺炎患者吸煙史、既往肺部疾病、鼻胃管留置和再插管構(gòu)成比均比非重癥肺炎患者高,且重癥肺炎患者的年齡、手術(shù)時(shí)間和機(jī)械通氣時(shí)間均高于非重癥肺炎患者,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論針對(duì)易感因素,采取積極有效的防治措施,合理使用抗菌藥物,可有效降低老年患者術(shù)后重癥肺炎發(fā)生率。
[Abstract]:Objective To explore the clinical characteristics and susceptibility factors of severe pneumonia in elderly patients after operation, and to provide reference for clinical prevention and treatment.Methods The clinical data of 1 132 elderly patients who underwent selective surgery from April 2009 to April 2013 were retrospectively analyzed.According to the occurrence of severe pneumonia, 23 cases of severe pneumonia and 23 cases of non-severe pneumonia were divided into two groups. Results A total of 23 patients with severe pneumonia, the incidence of 2.03%; a total of 36 isolates of pathogenic bacteria, including gram-negative bacteria 21 strains accounted for 58.33%, Gram-positive bacteria 11 strains accounted for 30.56%, fungi 4 strains accounted for 11.11%; severe pneumonia patients smoking history, previous lung diseases, nasogastric tube indwelling and re-intubation were higher than non-severe pneumonia patients, and The age, operation time and mechanical ventilation time of severe pneumonia patients were higher than those of non-severe pneumonia patients, and the difference was statistically significant (P 0.05).
【作者單位】： 衢州常山人民醫(yī)院內(nèi)一科;
【基金】：浙江省衢州市科技基金資助項(xiàng)目(20102063)
【分類號(hào)】：R563.1
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本文編號(hào)：2226483