全科医学临床与教育
全科醫學臨床與教育
전과의학림상여교육
CLINICAL EDUCATION OF GENERAL PRACTICE
2015年
3期
278-279,287
,共3页
老年患者%冠心病%肺炎衣原体感染
老年患者%冠心病%肺炎衣原體感染
노년환자%관심병%폐염의원체감염
elder patient%coronary heart disease%chlamydia pneumonia infection
目的：了解老年患者冠心病肺炎衣原体感染的发生率，探究肺炎衣原体在老年冠心病发生中所起的作用。方法选取84例老年冠心病患者，并且以同期80例非冠心病老年患者作为对照组，检测患者血清肺炎衣原体IgG抗体及C反应蛋白（CRP），分析肺炎衣原体抗体阳性率及CRP水平与老年患者冠心病发生之间的关系。结果冠心病组患者肺炎衣原体的感染率为79.76%，明显高于对照组47.50%（χ2=18.51，P＜0.05）。冠心病组患者CRP水平为（4.52±2.78）mg/L，明显高于对照组CRP水平（1.73±2.32）mg/L，差异有统计学意义（F=5.32， P＜0.05）。在冠心病患者中，肺炎衣原体抗体阳性患者的CRP水平为（6.87±3.25）mg/L，明显高于肺炎衣原体抗体阴性患者（2.05±2.45）mg/L，两组之间差异有统计学意义（F=8.73， P＜0.05）。而在对照组中肺炎衣原体阳性患者与肺炎衣原体阴性患者CRP水平之间差异无统计学意义（F=0.68， P＞0.05）。结论老年患者冠心病的发生与肺炎衣原体感染存在一定的相关性。
目的：瞭解老年患者冠心病肺炎衣原體感染的髮生率，探究肺炎衣原體在老年冠心病髮生中所起的作用。方法選取84例老年冠心病患者，併且以同期80例非冠心病老年患者作為對照組，檢測患者血清肺炎衣原體IgG抗體及C反應蛋白（CRP），分析肺炎衣原體抗體暘性率及CRP水平與老年患者冠心病髮生之間的關繫。結果冠心病組患者肺炎衣原體的感染率為79.76%，明顯高于對照組47.50%（χ2=18.51，P＜0.05）。冠心病組患者CRP水平為（4.52±2.78）mg/L，明顯高于對照組CRP水平（1.73±2.32）mg/L，差異有統計學意義（F=5.32， P＜0.05）。在冠心病患者中，肺炎衣原體抗體暘性患者的CRP水平為（6.87±3.25）mg/L，明顯高于肺炎衣原體抗體陰性患者（2.05±2.45）mg/L，兩組之間差異有統計學意義（F=8.73， P＜0.05）。而在對照組中肺炎衣原體暘性患者與肺炎衣原體陰性患者CRP水平之間差異無統計學意義（F=0.68， P＞0.05）。結論老年患者冠心病的髮生與肺炎衣原體感染存在一定的相關性。
목적：료해노년환자관심병폐염의원체감염적발생솔，탐구폐염의원체재노년관심병발생중소기적작용。방법선취84례노년관심병환자，병차이동기80례비관심병노년환자작위대조조，검측환자혈청폐염의원체IgG항체급C반응단백（CRP），분석폐염의원체항체양성솔급CRP수평여노년환자관심병발생지간적관계。결과관심병조환자폐염의원체적감염솔위79.76%，명현고우대조조47.50%（χ2=18.51，P＜0.05）。관심병조환자CRP수평위（4.52±2.78）mg/L，명현고우대조조CRP수평（1.73±2.32）mg/L，차이유통계학의의（F=5.32， P＜0.05）。재관심병환자중，폐염의원체항체양성환자적CRP수평위（6.87±3.25）mg/L，명현고우폐염의원체항체음성환자（2.05±2.45）mg/L，량조지간차이유통계학의의（F=8.73， P＜0.05）。이재대조조중폐염의원체양성환자여폐염의원체음성환자CRP수평지간차이무통계학의의（F=0.68， P＞0.05）。결론노년환자관심병적발생여폐염의원체감염존재일정적상관성。
Objective To observe the incidence rate and severity of chlamydia pneumonia infection amongst elder pa-tients, to investigate the influence of chamydia pneumonia in the coronary heart disease. Methods A total of 84 elder pa-tients with coronary heart disease were selected as the coronary heart disease group and another 80 elder patients without coronary heart disease were selected as the control group. Chamydia pneumonia IgG and CRP were detected; relationship between the IgG positive rate, CRP concentration and coronary heart disease were analyzed. Results The infection rate of chamydia pneumonia amongst coronary heart disease group was significantly higher than the control group (79.76% vs 47.50%;χ2=18.51,P<0.05). The CRP concentration of the coronary heart disease group(4.52±2.78)mg/L was significantly higher than that of the control group (1.73±2.32)mg/L(F=5.32, P<0.05). Amongst the coronary heart disease group, the CRP concentration of chamydia pneumonia IgG positive patients (6.87±3.25) mg/L was significantly higher than that of the negative patients(2.05±2.45 )mg/L(F=8.73, P<0.05). However, there was no significantly difference in the control group (F=0.68, P>0.05). Conclusions There was a close relationship between the chlamydia pneumonia infection and coro-nary heart disease amongst the elder patients.
