论文部分内容阅读
目的对慢性心力衰竭发生肺部感染的特点以及危险因素进行全面细致的分析,为临床防治提供理论依据。方法从2013年4月至2015年4月期间收治的慢性心力衰竭中随机选取肺部感染与无肺部感染的患者各120例,对患者肺部感染的特点、危险因素等进行回顾性分析,同时对比两组患者的预后情况。结果慢性心力衰竭合并肺部感染的患者主要表现为剧烈咳嗽、发热等症状。肺部感染组患者年龄大于65岁的要远远多于非肺部感染患者,差异具有统计学意义(P<0.05)。且肺部感染组患者中卧床以及进行侵入性操作的患者也要远远多于无肺部感染组,差异具有统计学意义(P<0.05)。对于预后情况,肺部感染组患者住院时间要比非肺部感染患者要久,死亡率要高,差异具有统计学意义(P<0.05)。结论慢性心力衰竭患者引发肺部感染的危险因素较多,需要全面分析患者的感染特点并采取及时有效的预防管理措施,将肺部感染降低到最小程度。
Objective To conduct a comprehensive and detailed analysis of the characteristics of pulmonary infection and risk factors in patients with chronic heart failure and provide a theoretical basis for clinical prevention and treatment. Methods A total of 120 patients with pulmonary infection and no pulmonary infection were selected randomly from April 2013 to April 2015 in chronic heart failure. The characteristics and risk factors of pulmonary infection were retrospectively analyzed. At the same time compared the prognosis of two groups of patients. Results Patients with chronic heart failure and pulmonary infection mainly showed severe cough, fever and other symptoms. The patients in the lung infection group were much older than 65 years old than those without pulmonary infection, the difference was statistically significant (P <0.05). There were also more patients in the lung infection group than in the non-pulmonary infection group and in the invasive operation. The difference was statistically significant (P <0.05). For the prognosis, patients with pulmonary infection in hospital stay longer than non-pulmonary infection patients, the mortality rate was higher, the difference was statistically significant (P <0.05). Conclusion There are many risk factors for pulmonary infection in patients with chronic heart failure, which require a comprehensive analysis of the patient’s infection characteristics and timely and effective prevention and management measures to minimize the pulmonary infection.