CAJ | 학술논문

目的：探讨单纯肺炎与卒中后肺炎高龄患者的临床特征的差异。方法我院呼吸内科治疗、年龄大于65岁的高龄肺炎患者。将高龄肺炎患者分为单纯肺炎组和卒中后肺炎组，每组60例。收集所有入选患者的临床数据进行统计分析。结果对比于单纯肺炎组，卒中后肺炎组伴有糖尿病与原发性高血压的概率较高，卒中后肺炎组的白细胞升高概率和低蛋白血症发生概率较高，氧分压水平较低，且更容易伴发双肺炎症(P<0．05)，而吸烟史、发热概率的差异无统计学意义。卒中后肺炎吞咽功能障碍患者与吞咽功能正常的患者相比住院时间差异无统计学意义；而治疗有效率差异具有统计学意义。病原学检测发现高龄卒中后肺炎患者痰培养结果，发现更易合并革兰氏阴性菌感染(P<0．05)。结论高龄卒中后肺炎患者一般情况指标较单纯老年性肺炎患者差，且病原学复杂，在初始选择抗生素治疗时应注意覆盖可能的致病菌。
목적：탐토단순폐염여졸중후폐염고령환자적림상특정적차이。방법아원호흡내과치료、년령대우65세적고령폐염환자。장고령폐염환자분위단순폐염조화졸중후폐염조，매조60례。수집소유입선환자적림상수거진행통계분석。결과대비우단순폐염조，졸중후폐염조반유당뇨병여원발성고혈압적개솔교고，졸중후폐염조적백세포승고개솔화저단백혈증발생개솔교고，양분압수평교저，차경용역반발쌍폐염증(P<0．05)，이흡연사、발열개솔적차이무통계학의의。졸중후폐염탄인공능장애환자여탄인공능정상적환자상비주원시간차이무통계학의의；이치료유효솔차이구유통계학의의。병원학검측발현고령졸중후폐염환자담배양결과，발현경역합병혁란씨음성균감염(P<0．05)。결론고령졸중후폐염환자일반정황지표교단순노년성폐염환자차，차병원학복잡，재초시선택항생소치료시응주의복개가능적치병균。
Objective To explore the differential clinical value of general senile pneumonia and senile chro-nic-onset post-stroke pneumonia. Methods 60 patients with senile chronic-onset post-stroke pneumonia and 60 pa-tients with general senile pneumonia were selected in this study. All the clinical data of all patients were collected and compared by SPSS 18. 0. Results Compared with the general pneumonia patients, the senile chronic-onset pneumo-nia patients had much higher frequency being accompanied by other diseases and worse general conditions, even they needed longer hospital stays and had worse outcomes ( P<0. 05 ) . The outcomes of dysphagia senile chronic-onset post-stroke pneumonia patients were worse than those who didn't. And they were likely to find gram-negative bacteria in prognosis research at the first sputum culture (P<0. 05). Conclusion The senile chronic-onset pneumonia pa-tients have worse general conditions and test results. It is extremely necessary to initially use antibiotics with broad spectrum to cover the possible pathogens.