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目的 探讨老年肾综患者发生感染的情况及危险因素。方法 记录 98例老年肾病综合征患者所发生感染的情况 ,对患者的年龄、是否使用激素、免疫抑制剂、2 4小时尿蛋白定量、血清白蛋白 (Alb)、血肌酐 (Scr)、血红蛋白 (Hb)、免疫球蛋白(IgG、IgA、IgM)等指标与感染进行相关性分析。结果 感染的发生率为 36 73% ,呼吸道感染占 5 2 78%。感染与患者的年龄、病程、使用激素、免疫抑制剂、血Alb、Scr、Hb、IgG、2 4小时尿蛋白定量有相关性 (P <0 0 5 )。结论 老年肾综患者易发生感染 ,以呼吸道的感染最为常见。高龄、使用激素、免疫抑制剂、低蛋白血症、贫血、大量蛋白尿等为老年肾综并发感染的危险因素。
Objective To investigate the prevalence and risk factors of senile renal allograft infection. Methods A total of 98 patients with senile nephrotic syndrome were enrolled in this study. The age, whether or not to use hormones, immunosuppressive agents, 24-hour urine protein, serum albumin (Alb), serum creatinine (Scr), hemoglobin Hb), immunoglobulin (IgG, IgA, IgM) and other indicators and infection were analyzed. Results The incidence of infection was 36.73% and respiratory infection was 52.78%. Infection and age, course of disease, hormones, immunosuppressive agents, blood Alb, Scr, Hb, IgG, 24 hours urinary protein quantitative correlation (P <0 05). Conclusion The elderly patients with renal comprehensive infection prone to respiratory infections are the most common. Older age, the use of hormones, immunosuppressive agents, hypoproteinemia, anemia, massive proteinuria and other risk factors for senile renal complications.