老年下呼吸道感染患者预后的相关因素分析  

Prognosis of Geriatric Lower Respiratory Infection and Its Correlative Factors

作　　者：李俊芬[1] 秦俭[1] 孙长怡[1] 王长远[1] 吴伟[1] 

机构地区：[1]首都医科大学宣武医院急诊科,北京100053

出　　处：《中华医院感染学杂志》2008年第4期497-499,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨影响老年下呼吸道感染患者预后的相关因素。方法收集、观察了急诊重症监护病房(EICU)101例老年下呼吸道感染患者;并于入院后2h及24h内查血生化、C-反应蛋白、肌钙蛋白T(cTnT)等相关检查;记录患者的一般情况、预后并于入院24h内进行急性生理与慢性健康状况(APACHEⅡ)和炎症反应综合征(SIRS)评分。结果年龄、血浆cTnT的水平和SIRS评分均与临床结局呈负相关。结论cTnT的水平、SIRS评分及患者的年龄均可作为独立监测老年下呼吸道感染患者预后的指标。OBJECTIVE To investigate the correlative factors that would affect the prognosis of geriatric lower respiratory infection.METHODS A total of 101 geriatric patients diagnosed as lower respiratory infection were enrolled in emergency ICU.The laboratory tests such as blood chemical tests,C-reactive protein,and troponin T（cTnT）were obtained twice 2 hours and 24 hours after admission,respectively.Other parameters including general condition,clinical outcomes as well as APACHE Ⅱ and SIRS scores within 24 hours were recorded.RESULTS The ages,cTnT and SIRS score were negatively correlated to clinical outcome.CONCLUSIONS The ages,SIRS scores and cTNT levels are independent prognostic factors in geriatric lower respiratory infection.

关 键 词：老年患者 肺炎 预后 相关因素 

分 类 号：R181.32[医药卫生—流行病学]