中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
17期
58-60
,共3页
老年%呼吸道感染%临床特征
老年%呼吸道感染%臨床特徵
노년%호흡도감염%림상특정
Elderly%Respiratory tract infection%Clinical feature
目的 探讨老年呼吸道感染临床特征.方法 对90例老年呼吸道感染患者的临床资料进行回顾性分析,包括疾病类型、病原菌检验结果等,将所得资料进行统计学分析后得出结论.结果 90例老年呼吸道感染患者痰液样本中共检出致病菌119株,革兰阴性菌检出率(89.92％)显著高于革兰阳性菌(10.08％)及真菌(0.84％),其中肺炎克雷伯菌、大肠埃希菌、铜绿假单胞菌所占比例较高(分别为35.29％、25.21％、14.29％);对大肠埃希菌、肺炎克雷伯菌及铜绿假单胞菌等老年呼吸系统感染主要致病菌耐药性分析可知,亚胺培南、庆大霉素、头孢哌酮耐药率较高(P ＜0.05);90例老年呼吸道感染患者经临床治疗后总有效率高达100.00％,无效率为0,有效率与无效率比较差异有统计学意义(P＜0.05).结论 对老年呼吸道感染患者给予积极的致病菌及耐药性检验有利于医生制定正确的治疗方案,提高其治疗效果及生活质量.
目的 探討老年呼吸道感染臨床特徵.方法 對90例老年呼吸道感染患者的臨床資料進行迴顧性分析,包括疾病類型、病原菌檢驗結果等,將所得資料進行統計學分析後得齣結論.結果 90例老年呼吸道感染患者痰液樣本中共檢齣緻病菌119株,革蘭陰性菌檢齣率(89.92％)顯著高于革蘭暘性菌(10.08％)及真菌(0.84％),其中肺炎剋雷伯菌、大腸埃希菌、銅綠假單胞菌所佔比例較高(分彆為35.29％、25.21％、14.29％);對大腸埃希菌、肺炎剋雷伯菌及銅綠假單胞菌等老年呼吸繫統感染主要緻病菌耐藥性分析可知,亞胺培南、慶大黴素、頭孢哌酮耐藥率較高(P ＜0.05);90例老年呼吸道感染患者經臨床治療後總有效率高達100.00％,無效率為0,有效率與無效率比較差異有統計學意義(P＜0.05).結論 對老年呼吸道感染患者給予積極的緻病菌及耐藥性檢驗有利于醫生製定正確的治療方案,提高其治療效果及生活質量.
목적 탐토노년호흡도감염림상특정.방법 대90례노년호흡도감염환자적림상자료진행회고성분석,포괄질병류형、병원균검험결과등,장소득자료진행통계학분석후득출결론.결과 90례노년호흡도감염환자담액양본중공검출치병균119주,혁란음성균검출솔(89.92％)현저고우혁란양성균(10.08％)급진균(0.84％),기중폐염극뢰백균、대장애희균、동록가단포균소점비례교고(분별위35.29％、25.21％、14.29％);대대장애희균、폐염극뢰백균급동록가단포균등노년호흡계통감염주요치병균내약성분석가지,아알배남、경대매소、두포고동내약솔교고(P ＜0.05);90례노년호흡도감염환자경림상치료후총유효솔고체100.00％,무효솔위0,유효솔여무효솔비교차이유통계학의의(P＜0.05).결론 대노년호흡도감염환자급여적겁적치병균급내약성검험유리우의생제정정학적치료방안,제고기치료효과급생활질량.
Objective To investigate the clinical features of respiratory tract infections in elderly patients.Methods To retrospectively analyze the clinical data of 90 cases of elderly respiratory tract infections,including the type of disease,pathogen test results,etc.,and the resulting data were statistically analyzed after the conclusion.Results One hundred and sixteen sputum samples were detected in 90 cases of elderly patients with respiratory tract infections,the detection rate of Gram-negative bacteria (89.92％) was significantly higher than Gram-positive bacteria (10.08％) and fungi (0.84％),which Klebsiella pneumoniae,Escherichia coli,Pseudomonas aeruginosa had higher proportion (respectively 35.29％,25.21％,14.29％).For analyzing the resistance of Escherichia coli,Klebsiella pneumoniae and Pseudomonas aeruginosa monocytogenes infection on mainly pathogens of elderly respiratory tract infections,the resistance of imipenem,gentamicin,cefoperazone were higher (P ＜ 0.05).The total efficiency of 90 elderly patients respiratory tract infections after clinical treatment up to 100.00％,the inefficiency was 0,the difference was statistically significant (P ＜ 0.05).Conclusions Respiratory tract infections in elderly patients are give positive pathogens and drug resistance testing can help a doctor to develop the right treatment plan to improve their treatment and quality of life.
