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目的:探究致老年慢性呼吸衰竭患者死亡的有关因素。方法:选取从2011年6月到2014年6月于我院收治的慢性呼吸衰竭并最终死亡60例老年患者作为观察组,另选取同期于我院治疗且病情得到缓解的70例老年慢性呼吸衰竭患者作为对照组,对两组患者包括年龄、性别、住院时间、营养状况、过敏史、吸烟史、基础疾病、并发症发生几率、胸部X线检测片、心电图、利尿剂与呼吸兴奋剂使用比例、APACHEⅡ评分及呼吸道感染程度等因素进行回顾分析。结果:构成为慢性呼吸衰竭死亡患者的观察组包括并发症发生概率、利尿剂与呼吸兴奋剂使用频率、呼吸道感染程度、患者营养状况及APACHEⅡ评分情况均与对照组均存在显著性差异(p<0.05)。结论:为减少老年慢性呼吸衰竭患者的死亡率,应在治疗过程中采取有效措施减少患者的呼吸道感染,并给予营养支持,减少并发症发生几率,合理使用利尿剂及呼吸兴奋剂。
Objective: To explore the causes of death in elderly patients with chronic respiratory failure. Methods: From June 2011 to June 2014 in our hospital for treatment of chronic respiratory failure and the final death of 60 elderly patients as the observation group, another selection of the same period in our hospital and the disease was alleviated 70 cases of chronic respiratory failure The patients served as the control group and were divided into two groups: age, sex, length of hospital stay, nutritional status, history of allergy, smoking history, underlying diseases, incidence of complications, chest radiograph, electrocardiogram, diuretic and respiratory stimulant , APACHE Ⅱ score and the degree of respiratory infection and other factors were analyzed retrospectively. RESULTS: The observation group comprised of patients with death from chronic respiratory failure, including the incidence of complications, the frequency of diuretics and respiratory stimulants, the degree of respiratory infections, the nutritional status of patients and APACHE II scores were significantly different from the control group (p < 0.05). Conclusion: In order to reduce the mortality rate of elderly patients with chronic respiratory failure, effective measures should be taken during the treatment to reduce the patient’s respiratory infection and to provide nutritional support to reduce the incidence of complications and rational use of diuretics and respiratory stimulants.