年龄对肺部感染并发老年多器官功能不全综合征的早期预测价值研究  

Early prediction value of age for multiple organ dysfunction syndrome in the elderly induced by pulmonary infection

作　　者：谭清武[1] 李庆华[1] 王春英[1] 唐静怡[1] 

机构地区：[1]解放军白求恩国际和平医院干部病房三科,石家庄市050082

出　　处：《中华老年多器官疾病杂志》2009年第1期14-16,共3页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：白求恩国际和平医院"十一五"计划课题(2007044)

摘　　要：目的研究年龄对肺部感染并发老年多器官功能不全综合征(MODSE)的早期预测价值。方法回顾性分析2001年1月至2006年12月因肺部感染在白求恩国际和平医院住院或住院期间出现肺部感染的驻石家庄地区60岁以上的师以上军队离退休干部的病历资料,调查各年龄段及各分界年龄上下肺部感染并发MODSE的发生率,采用Spearman等级相关分析年龄与肺部感染并发MODSE发生率的相关关系,采用四格表χ2检验分别比较各分界年龄上下之间肺部感染并发MODSE发生率的差异。结果年龄与肺部感染并发MODSE发生率呈正相关关系(Spearman等级r=0.232,P<0.001),肺部感染并发MODSE的发生率随着年龄的增大而增高;70岁以上各分界年龄上下之间肺部感染并发MODSE发生率的差异有统计学意义,70岁是影响肺部感染并发MODSE发生率的明显分界年龄,70岁以上老年人是肺部感染并发MODSE的高危人群。结论年龄对肺部感染并发MODSE的发生具有一定的早期预测价值。Objective To study the early prediction value of age for multiple organ dysfunction syndrome in the elderly （MODSE） induced by pulmonary infection. Methods Medical history of 393 retired veteran cadres aged over 60 years admitted to this hospital because of pulmonary infection or developing pulmonary intection during hospital stay from 2001 Jan to. 2006 Dec. were analyzed retrospectively. The morbidity of MODSE induced by pulmonary infection at different ages and different boundary ages was investigated. Spearman rank correlation was used to analyze the correlation between ages and incidence of MODSE induced by pulmonary infection. Four-fold table X^2 test was used to analyse the difference of morbidity of MODSE induced by pulmonary infection between above and below boundary ages. Results Age was positively correlated with the morbidity of MODSE induced by pulmonary infection （Spearman rank correlation coefficient 0. 232,P〈0. 001）. The morbidity of MODSE induced by pulmonary infection increased with increasing age. There was statistical difference of morbidity of MODSE induced by pulmonary infection between above and below 70 years or older. The people above 70 years old were the high risk population of MODSE induced by pulmonary infection. Conclusion Age is valuable for early prediction of MODSE induced by pulmonary infection.

关 键 词：多器官功能衰竭 感染 老年人 年龄因素 

分 类 号：R651.15[医药卫生—外科学] R563[医药卫生—临床医学]