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目的分析和探讨老年呼吸内科感染的因素及临床治疗措施。方法选择2013年4月~2014年4月来我院接受治疗的老年呼吸内科感染患者500例临床资料作为研究对象,并通过前瞻性研究方法以及回顾性调查分析法来对患者在医院出现感染的部位进行分析和统计。还要对患者是否存在侵入性治疗方案、是否使用抗生素、患者性别、时间、年龄、基础疾病以及其他合并症资料进行研究。结果 500例患者中出现医院感染的共有100例,其总体感染率为20%。100例患者中产生医院内部感染例次为120例,分别为胃肠道感染8例(6.7%)、下呼吸道感染42例(35%)、泌尿生殖道感染12例(10%)、上呼吸道感染36例(30%)、手术部位感染19例(15.8%)、其他感染3例(2.5%)。排除患者性别因素,其出现呼吸内科感染的概率与患者的住院时间、诊治情况、年龄、身体素质等因素存在较为显著的相关性。结论老年患者身体机能出现逐渐下降趋势,对于各种感染的反应不够明显,起病相对缓慢,症状不明显,所以,可能会导致其病情受到掩盖。因此,做好老年患者呼吸道感染治疗工作显得十分重要。
Objective To analyze and explore the factors and clinical treatment of senile respiratory infection. Methods From April 2013 to April 2014, 500 patients with senile respiratory medical infection who were treated in our hospital were selected as the research object. The prospective study and retrospective investigation were used to analyze the clinical data of patients infected in the hospital Parts for analysis and statistics. Patients should also be investigated for invasive treatment options, antibiotic use, patient gender, time, age, underlying disease, and other comorbid conditions. Results A total of 100 out of 500 patients had nosocomial infection with an overall infection rate of 20%. There were 120 cases of nosocomial infections in 100 patients, which were gastrointestinal tract infection in 8 cases (6.7%), lower respiratory tract infection in 42 cases (35%), genitourinary tract infection in 12 cases (10%), upper respiratory tract Thirty-six cases (30%) were infected, 19 cases (15.8%) were infected at the surgical site, and 3 (2.5%) were other infections. Excluding the sex factor of patients, the probability of occurrence of respiratory medical infection and hospitalization time, diagnosis and treatment, age, physical fitness and other factors there is a significant correlation. Conclusion The physical function of elderly patients shows a gradual downward trend. The response to various infections is not obvious enough, the onset is relatively slow, and the symptoms are not obvious. Therefore, the disease may be covered up. Therefore, it is very important to do the treatment of respiratory tract infection in elderly patients.