老年肺炎合并谵妄的临床分析  

Clinical analysis of aged patients with pneumonia and delirium

作　　者：周薇[1] 冯俐[1] 

机构地区：[1]北京老年医院呼吸科,北京市100095

出　　处：《实用老年医学》2009年第4期286-287,291,共3页Practical Geriatrics

摘　　要：目的探讨老年肺炎合并谵妄患者的临床特征。方法回顾性分析北京老年医院资料完整的101例老年肺炎患者的临床表现、辅助检查及治疗转归等临床资料,其中老年肺炎合并谵妄患者22例,老年肺炎非谵妄患者79例。结果老年肺炎合并谵妄发生率为21.8%。老年肺炎合并谵妄组患者与老年肺炎非谵妄组比较,咳嗽、咳痰、发热、中性粒细胞增高发生率无显著性差异(P>0.05),低氧血症、电解质紊乱发生率显著增高(P<0.05),影像学表现为多叶段病变发生率增高(P<0.05),病死率增高,有显著性差异(P<0.05)。结论老年肺炎患者谵妄发生率高,病情较重,肺部病变常涉及多叶段,低氧血症发生率、电解质紊乱发生率高,预后差。Objective To explore the clinical characteristics of aged patients with pneumonia and delirium. Methods Retrospective analysis was carried out on the clinical characteristics, laboratory examination results and therapy effect of 101 aged patients with pneumonia in Beijing Geriatric Hospital,including 22 patients with delirium. Results The incidence rate of delirium in aged patients with pneumonia was 21.8%. The incidence rate of cough, expectoration, fever and the increase of neutrophil had no significant differences （ P 〉 0. 05 ） in the patients with or without delirium, while the incidence rate of hypoxie, disturbance of electrolyte had significant difference （P 〈 0.05）. The incidence rate of multi-lobar lesions had obvious difference （P 〈 0. 05 ）. The motality of the patients with pneumonia with delirium was higher （ P 〈 0. 05 ）. Conclusions The elderly patients with pneumonia with delirium present with higher incidence rate of disturbance of electrolyte,hypoxic, muhi-lohar lesions, and higher mortalily rate.

关 键 词：肺炎 谵妄 老年人 

分 类 号：R563.1[医药卫生—呼吸系统]