摘要
目的探讨影响老年重症社区获得性肺炎预后的相关因素,为进一步提高临床治疗效果提供依据。方法收集该院近10年老年重症社区获得性肺炎患者117例,回顾性分析患者的临床资料,用逐步logistic回归进行多因素分析的方法进行比较。结果经综合治疗措施,其中58例预后佳(好转),59例预后差(死亡,包括经治疗后无好转放弃治疗,出院后经电话随访已死亡的患者)。logistic回归方程结果显示影响老年人重症社区获得性肺炎预后的危险因素为有创机械通气、有基础疾病、多脏器功能衰竭、呼吸性酸中毒、低蛋白血症、低钠血症、年龄。结论应重视危险因素对预后的影响,动态观察各项指标,及时、正确处理,改善患者病情,降低死亡率,提高治疗成功率。
【Objective】 To investigate the impact of community-acquired pneumonia on elderly patients with severe prognostic factors,in order to further improve the clinical treatment of reference.【Methods】 117 patients with severe community-acquired pneumonia in recent 10 years in the hospital were retrospectively analyzed of clinical data,using multivariate logistic regression analysis method.【Results】 The comprehensive treatment measures,including 58 cases of good prognosis（improvement）,59 cases of poor prognosis（death,including not improvement after treatment to give up treatment after discharge by telephone follow-up dead patients）.Logistic regression showed that older people with severe impact on the prognosis of community-acquired pneumonia risk factors for invasive mechanical ventilation had underlying diseases,multiple organ failure,respiratory acidosis,hypoproteinemia,hyponatremia,age.【Conclusion】 Attention should be paid to risk factors on prognosis,dynamic observation of the indicators,timely and correct treatment,to improve the patient＇s condition,reduce mortality and improve the treatment success rate.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2013年第4期75-78,共4页
China Journal of Modern Medicine
关键词
老年人
重症社区获得性肺炎
危险因素
older patients
severe community acquired pneumonia
risk factors
