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重度老年痴呆患者发生医院获得性肺炎的危险因素分析

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目的 分析重度老年痴呆患者发生医院获得性肺炎(HAP)的危险因素。方法 100 例重度老年痴呆患者,分组依照是否发生HAP,40 例发生HAP的患者归类为病例组,60 例未发生HAP的患者归类为参照组。采用Logistic分析重度老年痴呆患者发生HAP的危险因素。结果 病例组性别比例、反复吸痰率、吞咽困难率与参照组比较,均无统计学差异(P>0。05)。病例组年龄≥70 岁率(75。00%)、侵入性操作率(80。00%)、基础疾病率(72。50%)、使用抗菌药物率(70。00%)、长期卧床率(55。00%)均高于参照组(30。00%、30。00%、33。33%、43。33%、16。67%),差异均具有统计学意义(P<0。05)。Logistic回归分析显示,年龄≥70 岁、侵入性操作、基础疾病、使用抗菌药物、长期卧床是导致重度老年痴呆患者发生HAP的独立危险因素(OR=1。352、1。372、1。338、1。367、1。365,P<0。05)。结论 重度老年痴呆患者发生HAP与年龄≥70 岁、侵入性操作、基础疾病、使用抗菌药物、长期卧床有着极为密切的联系,临床应针对以上危险因素,及早予以针对性处理,尽可能降低HAP发生率。
Risk factors of hospital acquired pneumonia in patients with severe senile dementia
Objective To analyze the risk factors of hospital acquired pneumonia(HAP)in patients with severe senile dementia.Methods 100 patients with severe senile dementia were selected.According to whether HAP occurred,40 patients with HAP were classified as case group,and 60 patients without HAP were classified as reference group.Logistic analysis was conducted to analyze the risk factors of HAP in patients with severe senile dementia.Results There were no significant differences in gender ratio,repeated sputum aspiration rate and dysphagia rate between the case group and the reference group(P>0.05).The percentage of≥70 years of age,invasive operation,underlying disease,use of antibacterial drugs,and long-term bed rest of the case group were 75.00%,80.00%,72.50%,70.00%and 55.00%,which were higher than 30.00%,30.00%,33.33%,43.33%and 16.67%of the reference group,and the difference was statistically significant(P<0.05).Logistic regression analysis showed that≥70 years of age,invasive operation,underlying disease,use of antibacterial drugs,and long-term bed rest were independent risk factors for HAP in patients with severe senile dementia(OR=1.352,1.372,1.338,1.367,1.365;P<0.05).Conclusion The occurrence of HAP in patients with severe senile dementia is closely related to≥70 years of age,invasive operation,underlying diseases,use of antibacterial drugs,and long-term bed rest.The clinical treatment should be targeted at the above risk factors as early as possible to reduce the incidence of HAP.

Severe dementiaAgedHospital acquired pneumoniaRisk factors

黄琦琦、李成志

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528000 广东省佛山市顺德区伍仲珮纪念医院老年科

528300 广东省同江医院呼吸与危重症医学科

重度痴呆 老年人 医院获得性肺炎 危险因素

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(11)