[1]李玉华,蔡旻,高杉杉,等.某院患者医院获得性肺炎的回顾性分析[J].医学研究与战创伤救治(原医学研究生学报),2019,21(5):487-490.[doi:10.3969/j.issn.1672-271X.2019.05.009]
LI Yu-hua,CAI Ming,GAO Shan-shan,et al.Retrospective analysis of hospital acquired pneumonia in inpatients of a hospital[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2019,21(5):487-490.[doi:10.3969/j.issn.1672-271X.2019.05.009]
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某院患者医院获得性肺炎的回顾性分析(
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LI Yu-hua,CAI Ming,GAO Shan-shan,et al.Retrospective analysis of hospital acquired pneumonia in inpatients of a hospital[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2019,21(5):487-490.[doi:10.3969/j.issn.1672-271X.2019.05.009]
)《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]
- 卷:
- 第21卷
- 期数:
- 2019年5期
- 页码:
- 487-490
- 栏目:
- 临床研究
- 出版日期:
- 2019-09-06
文章信息/Info
- Title:
- Retrospective analysis of hospital acquired pneumonia in inpatients of a hospital
- 文章编号:
- 1672-271X（2019）05-0487-04
- 分类号:
- R378.2
- 文献标志码:
- A
- 摘要:
-
目的 探讨分析医院出院患者医院获得性肺炎（HAP）发病情况及易感因素，为降低患病率及病死率提供思路。 方法 检索2012年10月1日至2018年10月30日东部战区空军医院HIS系统中HAP的出院病案，分析患者的基本情况，按科室、年度和疗效分组分别统计分析HAP患病率、病死率等指标以及不同组间的关系，并分析痰液培养结果。 结果 HAP患病率为3.23%(2746/85 020)，病死率为14.68%（403/2746）。年龄≥60岁者占80.30%（2205/2746），平均住院次数(6.89±10.35)次。2746例HAP患者中病种前三位分别为脑血管病变（795例）、肿瘤（609例）、心血管疾病（343例）。HAP患病率较高的3个科室分别为重症医学科（23.18%）、神经科（11.38%）、心肾内科（7.15%），均超过7%；病死率较高的前3个科室分别为重症医学科（35.19%）、肿瘤科（19.58%）、消化内科（17.65%）。HAP患病率呈逐年上升趋势,且住院次数与患病率和病死率呈正相关（
r =0.9843,P =0.002；r =0.8948,P =0.040）。痰培养细菌阳性标本占47.33%（577/1219）。 结论 老年人且反复住院患者容易罹难HAP，基础疾病为脑血管病变、肿瘤及心血管疾病的患者需要更多关注，并根据细菌培养结果及时调整抗生素。
- Abstract:
-
Objective To explore and analyze the incidence and susceptibility factors of hospital-acquired pneumonia (HAP) in discharged patients, and to provide ideas. Methods From October 1, 2012 to October 30, 2018, the discharged cases of HAP in HIS system of Air Force Hospital in Eastern Warring Zone were analyzed. The incidence, mortality and other indicators of HAP were analyzed according to department, year and curative effect groups, and the relationship between different groups was analyzed. The sputum culture results were also analyzed. Results The prevalence of HAP was 3.23% (2746/85 020) and the fatality rate was 14.68% (403/2746). A total of 80.30% (2205/2746) HAP patients was ≥ 60 years old, and the average number of hospitalizations was (6.89±10.35). The top three diseases in 2746 patients with HAP were cerebrovascular lesions(795 cases), tumors(609 cases), and cardiovascular diseases(343 cases).The three departments with higher prevalence of HAP were critical medicine (23.18%), neurology (11.38%) and cardio-renal medicine (7.15%) , with >7% prevalence. The three departments with higher mortality were critical medicine (35.19%), oncology (19.58%) and digestive medicine (17.65%). The prevalence of HAP was increasing year by year. The number of hospitalizations was positively associated with the morbidity and mortality (
r =0.9843,P =0.002;r =0.8948,P =0.040). The positive sputum culture bacteria accounted for 47.33% (577/1219). Conclusion Elderly patients with recurrent hospitalization are susceptible to HAP. Patients with cerebrovascular diseases, tumors and cardiovascular diseases need carefully take care. And antibiotics should be adjusted according to the results of bacterial culture.
参考文献/References:
1 刘又宁,曹彬,王辉,等.中国九城市成人医院获得性肺炎微生物学与临床特点调查[J].中华结核与呼吸杂志，2012，35（10）：739-746.
2 覃花桃，王建源.ICU获得性肺炎危险因素调查[J].右江医学，2012，40（l）：28-29.
3 刘蕴婷，林冠文，方晓琳，等.医院获得性肺炎的流行病学调查分析[J].齐齐哈尔医学院学报，2015，36（14）：2126-2127.
4 邵清.老年人院内获得性肺炎的回顾性分析[J].中外健康文摘，2010，7（31）：197.
5 Guzmán-HerradorB，MolinaCD，AllamMF，et al.Independent risk factors associated with hospital-acquired pneumonia in an adult ICU:4-year prospective cohort study in a university reference hospital[J].J Public Health (Oxf)，2016，38(2):378-383.
6 黎毅敏.呼吸机相关性肺炎：从指南到实践[J].中华医学杂志，2014，94（5）：321-323.
7 何牡丹.医院获得性肺炎患者基础疾病及病原学分析 [J].临床肺科杂志，2015，19（4）：668-670.
8 万和芝，吴婉清，陈燕霞.长期卧床老年人院内获得性肺部感染的相关因素分析及干预模式探讨[J].中国当代医药，2012，19（14）：165.
9 曾治平，刘惟优，黄清云.老年吸入性肺炎患者143例临床分析[J].中国老年学杂志，2011，31（12）：2318-2319.
10 吕欣，赵静，孙洁敏，等.长期住院老年患者医院内获得性肺炎的危险因素分析[J].浙江医学，2014，36（18）：1544-1546.
11 彭江安，王慧.干休所21例老年肺部感染难治原因的探讨[J].东南国防医药，2014，16（4）：425-426.
12 郭凤玲，张卫东，白忠旭，等.恶性肿瘤患者医院获得性肺炎临床研究[J].医药论坛杂志，2008，29（15）：32.
13 刘晓，王媛，邢亚成，等.医院获得性肺炎继发脓毒症患者的预后分析[J].现代预防医学，2016，43（19）：3640-3643.
14 曾章锐，邵海枫.革兰阴性杆菌对碳青霉烯类抗生素耐药机制的研究进展[J].医学研究生学报，2014，27（5）：536-540.
15 卓安山，官振标，李奕，等.某院336例医院获得性肺炎金黄色葡萄球菌感染情况及耐药性研究[J].海军医学杂志，2017，38（6）：527-529.
16 杨雪，刘琳，张湘燕.耐碳青霉烯肺炎克雷伯杆菌的耐药机制及治疗策略研究进展[J].医学研究生学报，2018，31（4）：430-434.
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备注/Memo
- 备注/Memo:
- 收稿日期：2019-03-13
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