【摘要】：目的研究老年慢性阻塞性肺疾病(COPD)患者發(fā)生肺部感染的危險因素,為其防治提供可靠的依據(jù)。方法回顧性分析2011年12月-2012年12月住院的老年COPD患者80例,發(fā)生肺部感染30例,調(diào)查肺部感染的相關(guān)危險因素,進(jìn)行多因素logistic回歸分析;通過SPSSl5.0軟件對數(shù)據(jù)進(jìn)行統(tǒng)計分析。結(jié)果感染患者年齡≥60歲占83.3%、有吸煙史占33.3%、濫用抗菌藥物占70.0%、侵入性操作占73.3%、并發(fā)高血壓占70.0%、糖尿病占63.3%,其他呼吸系統(tǒng)疾病占66.7%;而多因素分析結(jié)果顯示,年齡≥60歲、基礎(chǔ)疾病、濫用抗菌藥物以及住院時間的延長均導(dǎo)致住院老年COPD患者肺部感染發(fā)生,是其發(fā)生的獨(dú)立危險因素(P0.05)。結(jié)論住院老年COPD患者發(fā)生肺部感染同年齡≥60歲、基礎(chǔ)疾病、濫用抗菌藥物以及住院時間等因素相關(guān)。
[Abstract]:Objective to study the risk factors of pulmonary infection in elderly patients with chronic obstructive pulmonary disease (COPD). Methods from December 2011 to December 2012, 80 elderly patients with COPD and 30 patients with pulmonary infection were analyzed retrospectively. The risk factors of pulmonary infection were investigated and multivariate logistic regression analysis was performed. The data are analyzed by SPSSl5.0 software. Results 83.3% of the infected patients had a history of smoking, 70.03% were abusing antibiotics, 73.3% were involved in invasive operation, 70.0% were complicated with hypertension, 63.3% were diabetes mellitus, 83.3% had a history of smoking, 73.3% were involved in invasive operation, 70.0% were complicated with hypertension and 63.3% had diabetes mellitus. Other respiratory diseases accounted for 66.7%; The results of multivariate analysis showed that age 鈮，

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