老年人肺部感染合并胃潴留的临床分析  被引量：11

CLINICAL ANALYSIS OF GASTRIC RETENTION IN THE ELDERLY PATIENTS WITH LUNG INFECTION</em> <p class='article-op'> <span id="bdshare" class="bdshare_t bds_tools get-codes-bdshare baidufx"><span><span class="bds_more" style="display: block; width: 62px; height: 29px; background: url(/images/share.gif) no-repeat!important; padding: 0;"></span></span></span> </p> <p class="article-source"> <a href ='/article/read.aspx?id=22930314' class='btnTitle btnIsView' target='_blank'><img alt='在线阅读' src='/images/btn-read.png'/></a><a class='btnTitle btnIsView' href="javascript:showdown('2vVetOsYykNCTrFs2N0lHdSIIw3dlwL5idmCTqPgdic=')"><img alt="下载全文" src="/images/btn-down.png" /></a> <input id="hiddowninfo" type="hidden" value="2vVetOsYykNCTrFs2N0lHdSIIw3dlwL5idmCTqPgdic="/> </p> <div class="collect" style="display: none"> <h5>我的收藏</h5> <div class="cnt"> <p> 名 称：<input type="text" name="collTitle" id="collSumTitle" /> </p> <p> 注 释：<input type="text" name="collRemark" id="collSumRemark" /> </p> <p style="text-align: center;"> <a href="javascript:void(0)" onclick="g_collectSumOk();"> <img width="65" height="17" src="/images_new/collect_ok.png" alt="完成" /></a> <a href="javascript:void(0)" onclick="g_collectSumCancel();"> <img width="65" height="17" src="/images_new/collect_no.png" alt="取消" /></a> </p> </div> </div> </div> <form name="wxTransfer" method="post"> <input type="hidden" name="lid" value="" /> <input type="hidden" name="sip" value="" /> <input type="hidden" name="date" value="" /> <input type="hidden" name="co" value="" /> <input type="hidden" name="Title_C" value="" /> <input type="hidden" name="Writers" value="" /> <input type="hidden" name="Name_C" value="" /> <input type="hidden" name="Num" value="" /> <input type="hidden" name="Years" value="" /> <input type="hidden" name="Volumn" value="" /> <input type="hidden" name="GCH" value="" /> <input type="hidden" name="Vol" value="" /> <input type="hidden" name="BookID" value="" /> <input type="hidden" name="SubjectNum" value="" /> <input type="hidden" name="SpecialNum" value="" /> <input type="hidden" name="mirrorName" value="" /> <input type="hidden" name="UserID" value="" /> <input type="hidden" name="UserName" value="" /> <input type="hidden" name="sourceID" value="" /> </form> <script type="text/javascript" src="/scripts/transfer.min.js"></script> <div class="article-detail"> <p class='author'><strong>作　　者：</strong><a href='/writer/article.aspx?id=100000000344515' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e6%9c%b1%e6%83%a0%e8%8e%89%5d' title='朱惠莉[1]'>朱惠莉[1]</a> <a href='/writer/article.aspx?id=100000009090780' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%91%a8%e4%bc%8a%e5%8d%97%5d' title='周伊南[1]'>周伊南[1]</a> <a href='/writer/article.aspx?id=100000013431018' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e7%ac%a6%e7%a4%bc%e5%88%9a%5d' title='符礼刚[1]'>符礼刚[1]</a> <em> </em></p><p class='organ'><strong>机构地区：</strong><a href='/organ/article.aspx?id=517&subid=&showname=&searchtype=' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=S%3d%e5%8d%8e%e4%b8%9c%e5%8c%bb%e9%99%a2%e5%91%bc%e5%90%b8%e7%a7%91' title='[1]华东医院呼吸科,上海市200040'>[1]华东医院呼吸科,上海市200040</a> <em> </em></p><p class='from'><strong>出　　处：</strong><a href='/journal/summary.aspx?gch=81670X' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=J%3d%5b%e8%80%81%e5%b9%b4%e5%8c%bb%e5%ad%a6%e4%b8%8e%e4%bf%9d%e5%81%a5%5d' title='老年医学与保健'>《老年医学与保健》</a>2006年第3期156-159,共4页<em>Geriatrics & Health Care</em></p><p class='fund'><strong>基　　金：</strong>上海市科学技术委员会科研计划项目(034119854)</p><p class='abstrack'><strong>摘　　要：</strong>目的明确老年人肺部感染患者并发胃潴留的相关危险因素,及胃潴留与患者疾病严重度、预后的关系,以利预防和及时处理,减少老年患者的死亡率。方法用Logistic回归分析方法分析83例不同程度肺部感染患者并发胃潴留的相关危险因素,如感染的病情、脑血管意外、尿毒症、代谢性酸中毒、低血钾、低血钙、MODS、机械通气等情况;分析并发MODS患者器官功能不全数与胃潴留存在是否相关;并分析胃潴留患者的预后。结果病情严重(APACHEⅡ评分高者)、尿毒症、代谢性酸中度、低钾血症、脑血管意外、MODS、机械通气等是老年人肺部感染继发胃潴留的危险因素;老年人肺部感染并发MODS患者,脏器功能衰竭的数量与胃潴留的发生成正相关;老年人肺部感染并发胃潴留者预后差,死亡率高。结论提示老年人肺部感染者发生胃潴留与多种因素有关,尤其是并发MODS患者,而且病情越严重,胃潴留发生越多,预后差。<em>Objective To investigate the gastrie retention in the elderly patients with hang infection, its correlative factors, and the relationship with gastric retention and the degree of severity of the illness, especially in patients with muhiple organ dysfunetion syndrome （MODS）. Methods 1） 83 ehterly patients with various degrees of lung infection were divided into three groups （Groupl： the score of APACHE Ⅱ 〈15, Group2： the score is from15 to 20, Group3： the score〉20 ）. to observe hasie status, such as degree of illness, hrain stroke, acid toxieosis, uraemia, hypokalimia, hypocalcemia, mechanical ventilation, MODS, and the relationship between the score of APACHE Ⅱ （the degree of illness） and these status, and the relationship between MODS, prognosis and gastric retention. Results There were risk factors of gastric retention such as the high score of APACHE Ⅱ ,MODS, brain stroke, acid toxieosis, uraemia, hypokalimia, meehanieal ventilation,especially in intensive infection with MODS, The gastric retention of patients suffering from MODS with lung infection was more than thai in patients without MODS. The prognosis of sueh patients with gastric retention was very poor. Conclusions It is suggested that patients with serious lung infection existed many risk factors of gastric retention, such as brain stroke, acid toxicosis, uraemia, hypokalimia, hypocalcemia, especially with MODS. Gastric retention is correlative with the degree of illness. The prognosis of patients with gastric retention is poor.</em></p><p class='subject'><strong>关 键 词：</strong><a href='/subject/article.aspx?id=5391286' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e8%80%81%e5%b9%b4%e4%ba%ba%5d' title='老年人'>老年人</a> <a href='/subject/article.aspx?id=6730810' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e8%82%ba%e7%82%8e%5d' title='肺炎'>肺炎</a> <a href='/subject/article.aspx?id=522820' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e5%a4%9a%e5%99%a8%e5%ae%98%e5%8a%9f%e8%83%bd%e8%a1%b0%e7%ab%ad%5d' title='多器官功能衰竭'>多器官功能衰竭</a> <a href='/subject/article.aspx?id=3897903' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e8%83%83%e8%82%8c%e8%bd%bb%e7%98%ab%5d' title='胃肌轻瘫'>胃肌轻瘫</a> </p><p class='class'><strong>分 类 号：</strong><a href='/zk/search.aspx?key=C%3dR563.1' title='R563.1'>R563.1</a>[<a href = '/domain/article.aspx?id=492' >医药卫生—呼吸系统</a>] </p> </div> <div id="content_wzxg" name="wzxg" class="article-graph"> <object width="695" height="250" classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" id="FlashID"> <param value="../flash/relation.swf" name="movie"> <param value="high" name="quality"> <param value="opaque" name="wmode"> <param value="6.0.65.0" name="swfversion"> <param value="dataUrl=/ajax/articlerelativegraph.ashx?id=22930314" name="flashVars"> <embed width="695" height="250" src="../flash/relation.swf" type="application/x-shockwave-flash" quality="high" wmode="opaque" flashvars="dataUrl=/ajax/articlerelativegraph.ashx?id=22930314"> </embed> </object> </div> <div class="article-relate-list"> <div class="relate-list"> <p id="ckwx_br"> </p> <h2 name="ckwx" id="ckwx">参考文献：</h2> <div id="listckwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="2jckwx_br"> </p> <h2 name="2jckwx" id="2jckwx">二级参考文献：</h2> <div id="list2jckwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="ohwx_br"> </p> <h2 name="ohwx" id="ohwx">耦合文献：</h2> <div id="listohwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="yzwx_br"> </p> <h2 name="yzwx" id="yzwx">引证文献：</h2> <div id="listyzwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="2jyzwx_br"> </p> <h2 name="2jyzwx" id="2jyzwx">二级引证文献：</h2> <div id="list2jyzwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="tbywx_br"> </p> <h2 name="tbywx" id="tbywx">同被引文献：</h2> <div id="listtbywx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="xgqklw_br"> </p> <h2 name="xgqklw" id="xgqklw">相关期刊文献：</h2> <div id="listxgqklw"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> </div> </div> <div class="article-about"> <div class="about-box"> <h5 class="name">相关的主题<tt><a class="hide" href="#"></a></tt></h5> <div class="about-list"> </div> </div> <div class="about-box"> <h5 class="name">相关的作者对象<tt><a class="" href="#"></a></tt></h5> <div class="about-list" style="display: none;"> </div> </div> <div class="about-box"> <h5 class="name">相关的机构对象<tt><a class="" href="#"></a></tt></h5> <div class="about-list" style="display: none;"> </div> </div> </div> </div> </div> <script type="text/javascript" src="/scripts/articlerelation.min.js"></script> <script type="text/javascript" src="/scripts/articlerightrelation.min.js"></script> <script type="text/javascript" src="/scripts/articledown.min.js"></script> <div class="layer-box download" id="downloadlayer" style="display: none"> <div class="close"> <a onclick="closedown()" href="javascript:void(0)"> <img src="/images/layer-close.png" width="21" height="21" alt="" /> </a> </div> <h5 class="layer-title">下载全文</h5> <div id="downloadinfo"></div> </div> <div class="layer-box download" id="downloadlayer2" style="display:none;min-height:100px;width:500px;"> <p> <img src="/images/loading2.gif" width="64" height="64"> <span style="font-size:20px;vertical-align:middle;padding-bottom:50px;">正在链接到云南高校图书馆文献保障联盟下载...</span> </p> </div> <script id="bdshare_js" data="type=tools&uid=0" type="text/javascript"></script> <script type="text/javascript"> $(function () { var rd = GetQueryString("rd"); 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