【摘要】 目的:对心血管病住院患者并发肺部感染的危险因素进行观察,并探讨有效的预防及治疗措施。方法:选取我院近年来收治的230例心血管病住院患者,其中并发肺部感染患者65例(观察组),未合并肺部感染患者165例(参考组),对两组患者临床资料进行观察分析,并探讨有效的预防及治疗措施。结果:观察组年龄>65岁、抗菌药物使用>3d、抗菌药物使用种类>2种、侵入性操作、合并基础性疾病、住院时间>10d患者并发肺部感染几率明显大于参考组(P<0.05);年龄>65岁、合并心力衰竭、COPD病史是导致患者肺部感染的独立危险因素;经积极对症处理后观察组肺部感染均消失。结论:高龄、合并心力衰竭及COPD是导致心血管病住院患者并发症肺部感染的独立危险因素,针对危险因素采取有效促使进行干预,并积极治疗出现的肺部感染对于促进患者康复有着重要作用。更多还原

【Abstract】 Objective: To observe danger factors of pulmonary infection in patients with cardiovascular disease, and discuss effective treatment. Methods: 230 patients were randomly divided into the observation group(65 cases with pulmonary infection) and the treatment group(165 cases without pulmonary infection). Results: In the observation, the occurred rate of pulmonary infection in patients who age >65 years, usage of antimicrobial drug >3d, antimicrobial drug use types >2 kinds, invasive procedures, combined with consolidated basis diseases, hospitalization time >10d was obvious higher(P<0.05); the factors as age >65 years, combined with heart failure, history of COPD was the main reason resulting in pulmonary infection; cases of pulmonary infection in the observation all disappeared after according treatment. Conclusion: The main reason resulting in pulmonary infection was age, heart failure, COPD. According treatment for intervening the danger factor can improve patients’ rehabilitation.更多还原