【摘要】 目的观察心血管内科患者合并医院获得性肺炎的特点,为临床治疗提供参考依据。方法回顾性分析960例心血管内科住院患者的临床资料。结果合并医院获得性肺炎50例,占5.21%;具有典型症状58.00%、表现为非特异性症状20.00%、无症状者22.00%;下呼吸道分泌物培养出致病菌98株,其中革兰阳性菌占22.41%、革兰阴性菌占61.22%、真菌占18.37%;医院获得性肺炎组年龄(65.45±14.12)岁、心功能NYHA分级(2.43±0.34)级、有创检查治疗54.00%、制酸剂38.00%、预防应用抗菌药物36.00%,均高于无医院获得性肺炎组的(57.12±13.13)岁、(2.02±0.29)级、12.31%、17.36%、10.77%(P<0.05),是医院获得性肺炎的危险因素;医院获得性肺炎住院时间(24.89±8.12)d、死亡率12.00%,高于无医院获得性肺炎组(14.89±6.23)d、1.11%(P<0.05)。结论心血管内科患者医院获得性肺炎发生率高,延长住院时间增加死亡率,应实施针对性措施减少医院获得性肺炎的发生。更多还原

【Abstract】 OBJECTIVE To observe the characteristics of the patients complicated with the hospital-acquired pneumonia in the cardiovascular medicine department so as to guide the clinical treatment.METHODS The clinical data of 960 patients hospitalized the cardiovascular medicine department were retrospectively analyzed.RESULTS There were 50(5.21%) cases of patients complicated with the hospital-acquired pneumonia,among which 58.00% were with typical disease symptoms,20.00% untypical clinical symptoms,and 22.00% without clinical symptoms;totally 98 strains of pathogens were isolated from the lower respiratory tract secretions,consisting of the gram-positive bacteria(22.41%),the gram-negative bacteria(61.22%),and the fungi(18.37%).The age(65.45±14.12 years old),cardiac function NYHA classification(2.43±0.34)level,invasive examination and treatment(54.00%),antacid treatment(38.00%),and prophylactic use of antibiotics(36.00%) of the patients with hospital-acquired pneumonia were respectively higher than(57.12±13.13) years old,(2.02±0.29)level,12.31%,17.36%,and 10.77%(P< 0.05),which were the risk factors for the hospital-acquired pneumonia;the hospitalization duration was(24.89±8.12)d of the patients with the hospital-acquired pneumonia and(14.89±6.23)d of the patients without the hospital-acquired pneumonia,and the mortality of the patients with hospital-acquired pneumonia was 12.00%,higher than 1.11% of the patients without the hospital-acquired pneumonia(P<0.05).CONCLUSION The incidence rate of the hospital-acquired pneumonia is high in the patients of cardiovascular medicine department,the prolonged hospitalization duration may increase the mortality.It is necessary to take the targeted measures to reduce the incidence of the hospital-acquired pneumonia.更多还原