CAJ | 학술논문

目的：探讨长期住院老年患者医院内获得性肺炎（HAP）发病的危险因素，为降低老年患者HAP的发病率和病死率提供依据。方法回顾性分析2010-10-2013-10内科连续住院时间＞90d的107例老年患者的临床资料，统计HAP发病率并分析相关危险因素。结果（1）长期住院老年患者HAP的发病率为33.64%。（2）多因素logistic回归分析显示，留置胃管、活动受限、意识障碍、中枢神经系统疾病、使用抗菌药物、制酸剂、糖皮质激素、血浆白蛋白水平＜35g/L是长期住院老年患者HAP发病的独立危险因素。结论长期住院老年患者HAP发病的独立危险因素众多，有效控制HAP的发生需要综合的防控措施。
목적：탐토장기주원노년환자의원내획득성폐염（HAP）발병적위험인소，위강저노년환자HAP적발병솔화병사솔제공의거。방법회고성분석2010-10-2013-10내과련속주원시간＞90d적107례노년환자적림상자료，통계HAP발병솔병분석상관위험인소。결과（1）장기주원노년환자HAP적발병솔위33.64%。（2）다인소logistic회귀분석현시，류치위관、활동수한、의식장애、중추신경계통질병、사용항균약물、제산제、당피질격소、혈장백단백수평＜35g/L시장기주원노년환자HAP발병적독립위험인소。결론장기주원노년환자HAP발병적독립위험인소음다，유효공제HAP적발생수요종합적방공조시。
Objective To investigate the risk factors of hospital- acquired pneumonia(HAP) in long- stay elderly patients. Methods The clinical data of 107 patients over 65y hospitalized for>90d during October 2010 to October 2013 were retrospec-tively reviewed. Risk factors were analyzed by univariate Pearson Chi- squared test and multivariable logistic regression. Results HAP occurred in 36 out of 107 cases with a infection rate of 33.64%. Multivariable logistic regression analysis with backward method found that insertion of nasogastric tube, supine position, depressed level of consciousness, nervous system diseases, administration of antibiotics, glucocorticoid or antacid, albumin<35g/L were independent risk factors of HAP in the elderly pa-tients. Conclusion The risk factors of hospital- acquired pneumonia identified in this study may provide information of interven-tion measures for long- stay elderly patients.