CAJ | 학술논문

目的：对20例老年社区获得性肺炎死亡患者的高危因素进行探讨，为临床治疗和干预提供理论依据。方法选取300例社区获得性肺炎患者作为研究对象。分为生存组和死亡组。生存组有280例。死亡组有20例。通过对两组患者的临床资料进行分析总结，探讨死亡的高危因素。结果1.两组患者年龄差异具有统计学意义(P<0.05)；在性别、吸烟史、长期卧床、误吸等方面差异无统计学意义(P>0.05)。2.两组患者在D-二聚体、CRP、BUN≥14 mmol/L、Cr、血糖、白蛋白<25 g/L、胸腔积液、双侧病变、多叶段受累等指标方面，差异具有统计学意义( P<0.05)。结论年龄、肾功能不全、D-二聚体、CRP、氮质血症、Cr、血糖、低白蛋白血症、胸腔积液、双侧病变、多叶段受累可能为影响老年CAP患者预后的危险因素。
목적：대20례노년사구획득성폐염사망환자적고위인소진행탐토，위림상치료화간예제공이론의거。방법선취300례사구획득성폐염환자작위연구대상。분위생존조화사망조。생존조유280례。사망조유20례。통과대량조환자적림상자료진행분석총결，탐토사망적고위인소。결과1.량조환자년령차이구유통계학의의(P<0.05)；재성별、흡연사、장기와상、오흡등방면차이무통계학의의(P>0.05)。2.량조환자재D-이취체、CRP、BUN≥14 mmol/L、Cr、혈당、백단백<25 g/L、흉강적액、쌍측병변、다협단수루등지표방면，차이구유통계학의의( P<0.05)。결론년령、신공능불전、D-이취체、CRP、담질혈증、Cr、혈당、저백단백혈증、흉강적액、쌍측병변、다협단수루가능위영향노년CAP환자예후적위험인소。
Objective To explore the risk factors of elderly patients died of community acquired pneumonia. Methods 300 community-acquired pneumonia patients were chosen as the research object and divided into the sur-vival group (n=280) and the death group (n=20). The clinical data of the two groups were summarized to explore the high risk factors of death. Results There was significant difference in age between the two groups (P<0. 05), but there was no statistical significance on gender, smoking history, long-term bedridden and aspiration (P>0. 05). There were significant differences in CRP, D-dimer, BUN≥14mmol/l, Cr, glucose, albumin<25g/l, pleural effu-sion, bilateral lesions and multi lobar involvement between the two groups (P<0. 05). Conclusion The risk factors of elderly patients with community-acquired pneumonia include age, renal insufficiency, D-dimer, CRP, azotemia, Cr, glucose, hypoalbuminemia, pleural effusion, bilateral lesions and multi lobar involvement.