老年心力衰竭患者发生肺部感染的相关危险因素及防治(1)
[摘要] 目的 分析引发老年心力衰竭患者发生肺部感染的相关危险因素以及有效的防治措施。方法 方便选择该院自2016年2—12月收治的95例老年心力衰竭患者作为研究对象，回顾性分析患者的临床资料，根据患者肺部感染情况将其分成感染组和未感染组，其中感染组43例，未感染组52例，比较两组患者的各项临床资料和相关治疗指标，以分析引发患者出现肺部感染的相关危险因素，并探究有效的防治措施。结果 感染组患者合并慢性阻塞性肺疾病比例(32.5%)明显大于未感染组(3.8%)，感染组患者左心室射血分数<35%的比例(48.8%)明显大于未感染组(13.5%)，两组对比差异有统计学意义(P<0.05)。结论 引发老年心力衰竭患者发生肺部感染的相关危险因素有年龄、吸烟史、长期卧床、抗生素及激素滥用史等，临床治疗过程中需采取针对性的防治措施，才能有效降低患者肺部感染的发生几率。
[关键词] 老年心力衰竭患者；肺部感染；危险因素；防治
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2017)11(a)-0044-03
[Abstract] Objective To analyze the relevant risk factors and effective prevention and control measures of senile heart failure patients. Methods 95 cases of senile heart failure patients admitted and treated in our hospital from February to December 2016 were conveniently selected and divided into two groups according to the lung infection situations， including 43 cases in the infection group and 52 cases in the non-infection group， and various clinical data and related treatment indexes were compared between the two groups in order to analyze the related risk factors of lung infection and study the effective prevention and control measures. Results The ratio of chronic obstructive pulmonary disease in the infection group was obviously higher than that in the non-infection group， (32.5% vs 3.8%)， and the ratio of patients whose left ventricular ejection fraction <35% in the infectious group was higher than that in the non-infectious group， (48.8% vs 13.5%)， and the difference between groups was obvious(P<0.05). Conclusion The related risk factors of lung infection of senile heart failure patients are age， smoking history， long-term bed and abuse of antibiotics and hormone， and we should use the targeted prevention and control measures in the clinical treatment to effectively reduce the occurrence probability of patients.
[Key words] Senile heart failure patients； Lung infection； Risk factors； Prevention and control
由多种心血管疾病终末阶段形成的临床综合征统称为心力衰竭病，患者多为70岁以上老年人群，病症会导致老年患者的免疫功能和反应性急剧下降，并使其出现咳痰不出和排痰困难等症状，从而加大了其肺部感染的几率[1]。而并發肺部感染不仅会加重患者病情，还易引发其出现局部化脓性感染，从而加大了患者机体的痛苦，此外，感染严重的患者甚至会出现败血症、脓毒症等全身心感染疾病，因此明确引发老年心力衰竭患者发生肺部感染的相关危险因素，并采取针对性的防治措施，才能从根本上减少病原菌对患者机体的侵袭，进而有助于改善患者的预后效果和生存质量[2]。该文方便选取了该院自2016年2—12月收治的95例老年心力衰竭患者进行相关研究，现将研究报道如下。
1 资料与方法
1.1 一般资料
方便选择该院收治的95例老年心力衰竭患者作为研究对象，回顾性分析患者的临床资料，根据患者肺部感染情况将其分成感染组和未感染组，其中感染组43例，未感染组52例，感染组中男性患者27例，女性患者16例，患者年龄分布：64～85岁，平均年龄为(73.6±2.3)岁，非感染组中女性患者21例，男性患者31例，患者年龄分布：65～84岁，平均年龄为(71.5±2.4)岁。
1.2 方法, 百拇医药(余碧菁 林敏瑜 郑伯仁)
[关键词] 老年心力衰竭患者；肺部感染；危险因素；防治
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2017)11(a)-0044-03
[Abstract] Objective To analyze the relevant risk factors and effective prevention and control measures of senile heart failure patients. Methods 95 cases of senile heart failure patients admitted and treated in our hospital from February to December 2016 were conveniently selected and divided into two groups according to the lung infection situations， including 43 cases in the infection group and 52 cases in the non-infection group， and various clinical data and related treatment indexes were compared between the two groups in order to analyze the related risk factors of lung infection and study the effective prevention and control measures. Results The ratio of chronic obstructive pulmonary disease in the infection group was obviously higher than that in the non-infection group， (32.5% vs 3.8%)， and the ratio of patients whose left ventricular ejection fraction <35% in the infectious group was higher than that in the non-infectious group， (48.8% vs 13.5%)， and the difference between groups was obvious(P<0.05). Conclusion The related risk factors of lung infection of senile heart failure patients are age， smoking history， long-term bed and abuse of antibiotics and hormone， and we should use the targeted prevention and control measures in the clinical treatment to effectively reduce the occurrence probability of patients.
[Key words] Senile heart failure patients； Lung infection； Risk factors； Prevention and control
由多种心血管疾病终末阶段形成的临床综合征统称为心力衰竭病，患者多为70岁以上老年人群，病症会导致老年患者的免疫功能和反应性急剧下降，并使其出现咳痰不出和排痰困难等症状，从而加大了其肺部感染的几率[1]。而并發肺部感染不仅会加重患者病情，还易引发其出现局部化脓性感染，从而加大了患者机体的痛苦，此外，感染严重的患者甚至会出现败血症、脓毒症等全身心感染疾病，因此明确引发老年心力衰竭患者发生肺部感染的相关危险因素，并采取针对性的防治措施，才能从根本上减少病原菌对患者机体的侵袭，进而有助于改善患者的预后效果和生存质量[2]。该文方便选取了该院自2016年2—12月收治的95例老年心力衰竭患者进行相关研究，现将研究报道如下。
1 资料与方法
1.1 一般资料
方便选择该院收治的95例老年心力衰竭患者作为研究对象，回顾性分析患者的临床资料，根据患者肺部感染情况将其分成感染组和未感染组，其中感染组43例，未感染组52例，感染组中男性患者27例，女性患者16例，患者年龄分布：64～85岁，平均年龄为(73.6±2.3)岁，非感染组中女性患者21例，男性患者31例，患者年龄分布：65～84岁，平均年龄为(71.5±2.4)岁。
1.2 方法, 百拇医药(余碧菁 林敏瑜 郑伯仁)