论文部分内容阅读
目的:探讨慢性阻塞性肺疾病患者医院获得性肺炎的临床特点及有效处理办法。方法:选取2010年2月——2012年3月期间在我院住院的慢性阻塞性肺疾病患者248例为分析对象,均给予痰细菌学检查,并对可能因素进行二项Logistic回归分析。结果:248例CPOD患者中发生HAP54例(61株致病菌株),发生率21.77%,肺炎克雷伯杆菌和铜绿假单胞杆菌是主要的致病菌株。结论:CPOD患者医院获得性肺炎的发生率高,原因与呼吸衰竭、年龄、广谱抗菌素应用时间、气管插管、机械通气和重症监护室住院时间有密切关系。
Objective: To investigate the clinical characteristics and effective treatment of hospital acquired pneumonia in patients with chronic obstructive pulmonary disease. Methods: A total of 248 chronic obstructive pulmonary disease patients hospitalized in our hospital from February 2010 to March 2012 were selected as subjects for analysis. All patients were given sputum bacteriological examination. Logistic regression analysis was performed on possible factors. Results: Among 248 CPOD patients, 54 cases were HAP (61 pathogenic strains), the incidence rate was 21.77%. Klebsiella pneumoniae and Pseudomonas aeruginosa were the main pathogenic strains. CONCLUSIONS: The high incidence of hospital-acquired pneumonia in CPOD patients is closely related to respiratory failure, age, duration of use of broad-spectrum antibiotics, endotracheal intubation, mechanical ventilation, and intensive care unit length of stay.