老年肺部重症感染患者支气管镜检查耐受性的影响因素  

Influencing Factors for Bronchoscopy Tolerance in Elderly Patients with Severe Pulmonary Infection

作　　者：欧明华 黄惠昌[1] 乐春美 OU Ming-hua;HUANG Hui-chang;LE Chun-mei(Department of Respiratory and Critical Care Medicine,Hui'an County Hospital,Quanzhou 362100,China;Department of Anesthesiology,Quanzhou Taiwan Investment Area Hospital,Quanzhou 362100,China)

机构地区：[1]惠安县医院呼吸与危重症医学科,泉州362100 [2]泉州台商投资区医院麻醉科,泉州362100

出　　处：《四川解剖学杂志》2024年第6期69-71,75,共4页Sichuan Journal of Anatomy

摘　　要：目的:探讨老年肺部重症感染患者支气管镜检查耐受性的影响因素.方法:选取2022年1月至2024年3月于本院就诊的107例老年肺部重症感染患者作为研究对象,均接受标准支气管镜检查.采用视觉模拟评分法(VAS)评估患者检查耐受情况,并将其分别纳入不耐受组和耐受组,比较两组患者一般资料、临床表现、实验室及支气管镜检查结果,采用Logistic回归分析影响该检查耐受性的危险因素.结果:107例老年肺部重症感染患者支气管镜检查过程中,不良事件总发生率为14.02%(15/107).根据VAS评分,15例患者纳入不耐受组,92例患者纳入耐受组.不耐受组患者中意识障碍、呼吸困难、未接受过呼吸支持治疗的例数占比均高于耐受组,且肺功能相关指标[用力肺活量(FVC)、第一秒用力呼气容积(FEV1)、FEV_(1)/FVC]水平均低于耐受组,差异均有统计学意义(P<0.05).Logistic回归分析结果显示,有意识障碍、呼吸困难、未接受过呼吸支持治疗、肺功能相关指标(FVC、FEV1、FEV1/FVC)水平降低均是影响老年肺部感染患者支气管镜检查耐受性的危险因素(P<0.05).结论:支气管镜检查对老年患者肺部重症感染诊断有重要价值,但要充分认识到老年患者接受检查时面临的风险挑战.Objective:To explore the influencing factors of bronchoscopy tolerance in elderly patients with severe pulmonary infection.Methods:A total of 107 elderly patients with severe pulmonary infection treated in our hospital from January 2022 to March 2024 were selected as research subjects,and all patients received standard bronchoscopy.The visual analogue score(VAS)was used to evaluate the tolerability of the patients,and the patients were included in intolerance group or tolerance group according to the VSA score,and the general data,clinical manifestations,laboratory and bronchoscopy results of the two groups were compared,and the risk factors affecting the tolerability of the examination were analyzed by logistic regression.Results:During bronchoscopy in 107 elderly patients with severe lung infection,the total incidence of adverse events was 14.02%(15/107).According to the VAS score,15 patients were included in intolerance group and 92 patients were included in tolerance group.The proportion of patients with impaired consciousness,dyspnea,and no respiratory support in intolerance group was higher than that in tolerance group,and the levels of pulmonary function related indicators[forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),and FEV1/FVC]were lower than those in tolerance group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that impaired consciousness,dyspnea,absence of respiratory support therapy,and decreased levels of lung function related indicators(FVC,FEV1,FEV1/FVC)were risk factors affecting bronchoscopy tolerance in elderly patients with lung infection(P<0.05).Conclusion:Bronchoscopy is of great value in the diagnosis of severe pulmonary infection in elderly patients,but we should fully realize the risks and challenges faced by elderly patients when they receive examination.

关 键 词：支气管镜检查 老年 肺部重症感染 诊断 耐受性 

分 类 号：R47[医药卫生—护理学]