慢性心力衰竭发生肺部感染的特点及危险因素分析  

Analysis of characteristics and risk factors of pulmonary infection in patients with chronic heart failure

作　　者：李秀霞[1] 

机构地区：[1]郑州大学第一附属医院,郑州450052

出　　处：《医药论坛杂志》2015年第12期15-16,共2页Journal of Medical Forum

基　　金：河南省教育厅科学技术研究重点项目资助计划(13A320430)

摘　　要：目的对慢性心力衰竭发生肺部感染的特点以及危险因素进行全面细致的分析,为临床防治提供理论依据。方法从2013年4月至2015年4月期间收治的慢性心力衰竭中随机选取肺部感染与无肺部感染的患者各120例,对患者肺部感染的特点、危险因素等进行回顾性分析,同时对比两组患者的预后情况。结果慢性心力衰竭合并肺部感染的患者主要表现为剧烈咳嗽、发热等症状。肺部感染组患者年龄大于65岁的要远远多于非肺部感染患者,差异具有统计学意义(P<0.05)。且肺部感染组患者中卧床以及进行侵入性操作的患者也要远远多于无肺部感染组,差异具有统计学意义(P<0.05)。对于预后情况,肺部感染组患者住院时间要比非肺部感染患者要久,死亡率要高,差异具有统计学意义(P<0.05)。结论慢性心力衰竭患者引发肺部感染的危险因素较多,需要全面分析患者的感染特点并采取及时有效的预防管理措施,将肺部感染降低到最小程度。Objective To analyze the characteristics and risk factors of pulmonary infection in chronic heart failure.Methods From April 2013 to April 2015 in our hospital 120 chronic heart failure patients with pulmonary infection and120 normal patients with chronic heart failure,analyze the characteristics and risk factors,and patients＇ prognosis was compared. Results The main manifestations of chronic heart failure combined pulmonary infection were severe cough,fever and other symptoms. Over 65 years old patients in pulmonary infection group was more than that of the normal group,the difference was statistically significant（ P〈0. 05）. Patients in bed and invasive operation in pulmonary infection group was more than that of the normal group,the difference was statistically significant（ P〈0. 05）. Patients＇ hospitalization time in pulmonary infection group was longer than that of the normal group,with high mortality,the difference was statistically significant（ P〈0. 05）. Conclusion Chronic heart failure combined pulmonary infection has many risk factors,we should comprehensively analyze the characteristics of the patient＇s infection and take timely and effective preventive measures,reduce the probability of pulmonary infection.

关 键 词：慢性心力衰竭 肺部感染 危险因素 

分 类 号：R541.6[医药卫生—心血管疾病]