CAJ | 학술논문

目的：探讨老年慢性阻塞性肺疾病(简称慢阻肺)继发肺真菌病的危险因素。方法回顾性分析我院2010年8月~2014年7月收治的80例慢阻肺继发肺真菌病患者的临床资料为实验组，选取同期未继发肺真菌病的80例老年慢阻肺患者作为对照组，探讨其危险因素。结果抗生素应用时间>14 d、糖皮质激素应用>500 mg、机械通气、合并低白蛋白血症、合并糖尿病是老年慢阻肺继发肺真菌病的独立高危因素。结论临床应高度重视老年慢阻肺继发肺真菌病的高危因素，并采取相应的预防控制措施，以减少肺真菌感染的发生。
목적：탐토노년만성조새성폐질병(간칭만조폐)계발폐진균병적위험인소。방법회고성분석아원2010년8월~2014년7월수치적80례만조폐계발폐진균병환자적림상자료위실험조，선취동기미계발폐진균병적80례노년만조폐환자작위대조조，탐토기위험인소。결과항생소응용시간>14 d、당피질격소응용>500 mg、궤계통기、합병저백단백혈증、합병당뇨병시노년만조폐계발폐진균병적독립고위인소。결론림상응고도중시노년만조폐계발폐진균병적고위인소，병채취상응적예방공제조시，이감소폐진균감염적발생。
Objective To explore the risk factors of secondary pulmonary fungal infection in elderly patients with chronic obstructive pulmonary disease (COPD). Methods Clinical data of 80 COPD patients with secondary pulmonary fungal infection from August 2010 to July 2014 of our hospital was analyzed retrospectively and selected as experimen-tal group.And 80 COPD patients with no secondary pulmonary fungal infection at the same time were selected as con-trol group to explore the risk factors. Results The used time of antibiotic more than 14 days,the glucocorticoid used more than 500 mg,mechanical ventilation,combined with low serum albumin,combined with diabetes were independent risk factors of elderly COPD patients secondary pulmonary fungal infection. Conclusion Clinical should attach great importance in risk factors of elderly COPD patients with secondary pulmonary fungal infection,and take the correspond-ing prevention and control measures to reduce the occurrence of pulmonary fungal infection.