老年医疗保健相关性肺炎患者的临床诊治特点分析  

Characteristics Analysis of Clinical Diagnosis and Treatment of Elderly Patients with Health Care Associated Pneumonia

作　　者：何翔[1] 王瑞明 HE Xiang1,WANG Rui-ming2(1. Xiamen Ocean Vocational College, Xiamen, Fujian, 361024; 2. Fuzhou Mternal and Children Health Care Hospital, Fuzhou, Fujian, 35000)

机构地区：[1]厦门海洋职业技术学院,福建厦门361024 [2]福州市妇幼保健院,福建福州350005

出　　处：《智慧健康》2018年第6期107-108,共2页Smart Healthcare

摘　　要：目的分析老年医疗保健相关性肺炎(HCAP)的临床诊治特征。方法回顾分析2015年9月至2017年9月在我院进行诊治的50例老年医疗保健相关性肺炎患者的一般资料,归结患者的发病特点、诊断治疗方式等。结果 50例患者中,伴有2种及以上的慢性病患者占88.00%;长期需要卧床的患者占28.00%;需要进行尿管、胃管插管的患者占16.00%;2例患者需要长期进行免疫抑制剂进行治疗。经过诊断、治疗后,50例患者中痊愈的患者占54.00%;改善的患者30.00%;无效的患者占16.00%。结论由于老年人群的年龄较大,病情较为严重,基础疾病的类型繁杂,致死率普遍较高,临床医生应对老年医疗保健相关性肺炎患者予以更多的关注,区分HCAP、CAP之间的异同点,注意对耐药菌株和厌氧菌进行覆盖。Objective To analyze clinical diagnosis and treatment characteristics of elderly health care associated pneumonia（HCAP）. Methods Review and analyze general data of 50 cases elderly patients with health care associated pneumonia diagnosed and treated in our hospital from September 2015 to September 2017, summarize characteristics, diagnosis and treatment of patients. Results Among 50 cases, 88.00% had two or more chronic diseases, 28.00% needed long-term bed rest, 16.00% needed catheterization of urinary and gastric catheter, 2 cases needed long term immunosuppressive therapy. After diagnosis and treatment, 54.00% of 50 patients were cured, 30.00% were improved and 16.00% were invalid. Conclusion Elderly population has features of older age, serious disease, complicated disease types, high fatality rate, clinicians should pay more attention to HCAP patients, and distinguish similarities and differences between HCAP and CAP, and cover resistant strains of anaerobic bacteria.

关 键 词：老年 医疗保健相关性肺炎 临床诊治 分析 

分 类 号：R563.1[医药卫生—呼吸系统]