172例老年社区获得性肺炎的临床分析  

Clinical study of 172 cases of community acquired pneumonia in the elderly

作　　者：洪燕[1] 陈凤娟[1] 郑金旭[2] 庄远非[1] 

机构地区：[1]上海市第八人民医院呼吸内科,上海市200235 [2]江苏大学附属医院呼吸科,江苏省镇江市212001

出　　处：《实用老年医学》2013年第7期572-574,共3页Practical Geriatrics

摘　　要：目的探讨老年人社区获得性肺炎(CAP)的临床特点。方法分析172例老年CAP(老年组)的临床表现、实验室检查、胸部影像学检查资料,并与同期收治的69例非老年CAP(对照组)作比较。结果老年组合并1种以上基础疾病的占93.60%,对照组为33.33%(P<0.01);老年组有胸闷、气促、胸痛症状的分别占75.58%、62.21%、21.51%,对照组分别为26.09%、21.74%、43.48%(P<0.01);老年组有精神状态改变、消化道症状的占29.07%、62.79%,对照组分别为7.25%(P<0.01)和39.13%(P<0.05);老年组有低蛋白血症的占43.02%,对照组为17.39%(P<0.01)。结论老年CAP容易合并有基础疾病,临床表现不典型,须加重视。当出现胸闷、气促、消化道症状或精神状态的改变并伴有不同程度的咳嗽时,应警惕肺炎。Objective To explore the clinical characteristics of elderly patients with community acquired pneumonia(CAP). Methods The data of clinical manifestation, laboratory examination, chest imageology were compared between 172 elderly cases of CAP(aged group) and 69 non-elderly cases of CAP (control group) during the same period of hospita-lization. Results The patients presenting with more than one basic disease in aged group accounted for 93.60%,compared with 33.33% in the control group(P<0.01);The incidence rate of chest tightness, shortness of breath, chest pain in aged group was 75.58%,62.21%, 21.51% respectively, compared with 26.09%,21.74%,43.48% in the control group(P<0.01). The incidence rate of altered mental status, gastrointestinal symptoms in aged group was 29.07%, 62.79%,compared with 7.25%(P<0.01),39.13%(P<0.05) in the control group.The incidence rate of hypoproteinemia in aged group was 43.02%,compared with 17.39% in the control group(P<0.01). Conclusions The aged patients with CAP are more likely to suffer from basic diseases, and the clinical manifestations are not typical. Pneumonia should be taken into account when the patients suffer from chest tightness, shortness of breath, gastrointestinal symptoms or altered mental status complicated with different degrees of cough.

关 键 词：老年人 社区获得性肺炎 临床特点 

分 类 号：R563.1[医药卫生—呼吸系统]