|本期目录/Table of Contents|

[1]李海东,王 泳,刘月伟.住院患者发生吸入性肺炎的临床特点及相关因素探讨[J].传染病信息,2019,03:252-255.
 LI Hai-dong*,WANG Yong,LIU Yue-wei.Clinical characteristics and related factors of aspiration pneumonia in hospitalized patients[J].Infectious Disease Information,2019,03:252-255.
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住院患者发生吸入性肺炎的临床特点及相关因素探讨(PDF)

《传染病信息》[ISSN:1007-8134/CN:11-3886/R]

期数:
2019年03期
页码:
252-255
栏目:
论 著
出版日期:
2019-07-12

文章信息/Info

Title:
Clinical characteristics and related factors of aspiration pneumonia in hospitalized patients
文章编号:
   1007-8134(2019)03-0252-04
作者:
李海东王 泳刘月伟
 100038,首都医科大学附属复兴医院康复中心(李海东、王泳、刘月伟)
Author(s):
LI Hai-dong* WANG Yong LIU Yue-wei
Rehabilitation Center, Fuxing Hospital Affiliated to Capital University of Medical Sciences, 100038, China
关键词:
吸入性肺炎临床特点相关因素  
Keywords:
aspiration pneumonia clinical features related factors
分类号:
R563.1    
DOI:
10.3969/j.issn.1007-8134.2019.03.015
文献标识码:
A
摘要:
目的 分析探讨住院患者发生吸入性肺炎的临床特点及相关因素。方法 选择 2014年 1月—2018年 12月于我院康复中心住院治疗的 215例患者作为研究对象,收集入组患者的病历资料,分析吸入性肺炎发生的临床特点和危险因素。结果 入组 215例患者中发生吸入性肺炎者 45例(20.93%),45例中存在 2种基础疾病者 21例(46.67%)、3种者 13例(28.89%)、4种者 11例(24.44%);临床表现主要包括发热 33例(73.33%)、有明显呛咳史 25例(55.56%)、呼吸困难 15例(33.33%)、意识障碍 19例(42.22%)、咳嗽咳痰 12例(26.67%)。 Logistic回归分析显示,高龄、白蛋白水平低、合并基础疾病、咳嗽反射敏感性低、吞咽功能障碍、意识障碍、鼻饲或胃肠道营养、胃食管反流、气管插管、体位不当等均为住院患者发生吸入性肺炎的危险因素( P均< 0.05)。结论 发生吸入性肺炎的住院患者以老年人群为主,且合并基础疾病多,临床症状不典型。高龄、营养状态差、生理反射障碍、意识障碍、胃食管反流、侵入性操作、体位不当等均为住院患者发生吸入性肺炎的危险因素。  
Abstract:
Objective To analyze the clinical characteristics and related factors of aspiration pneumonia in hospitalized patients. Methods Two hundred and fifteen patients who were hospitalized in Rehabilitation Center of our hospital from January 2014 to December 2018 were selected as subjects. The medical records of 215 inpatients were collected and the clinical characteristics and risk factors of aspiration pneumonia in hospitalized patients were analyzed. Results Among the enrolled 215 patients, 45 cases (20.93%)developed aspiration pneumonia. Among the 45 affected cases, there were 21 cases (46.67%) with 2 kinds of underlying diseases, 13cases (28.89%) of 3 kinds, and 11 cases (24.44%) of 4 kinds; The clinical manifestations included fever in 33 cases (73.33%), obvious cough history in 25 cases (55.56%), dyspnea in 15 cases (33.33%), consciousness disorder in 19 cases (42.22%), cough and expectorationin 12 cases (26.67%). Logistic regression analysis showed that advanced age, low albumin levels, combined underlying disease, low coughreflex sensitivity, swallowing dysfunction, disturbance of consciousness, nasal feeding or gastrointestinal nutrition, gastroesophagealreflux, endotracheal intubation, and improper position are risk factors for aspiration pneumonia in hospitalized patients (P< 0.05). Conclusions Inpatients with aspiration pneumonia are mainly elderly, and there are many underlying diseases and atypical clinicalsymptoms. Advanced age, poor nutritional status, physiological reflex disorder, disturbance of consciousness, gastroesophageal reflux,invasive operation, and improper position are risk factors for aspiration pneumonia in hospitalized patients.      

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备注/Memo

备注/Memo:

[作者单位] 100038,首都医科大学附属复兴医院康复中心(李海东、王泳、刘月伟)
[通信作者] 李海东,E-mail: lhd126877@163.com215
更新日期/Last Update: 2019-07-12