108例老年人群肺部结节发生情况及其高危因素分析

Analysis on Incidence and High Risk Factors of Pulmonary Nodules in 108 Elderly People

目的:分析老年人群肺部结节发生情况及其高危因素.方法:选取2018年5月至2021年4月期间于中国人民解放军陆军第八十三集团军医院进行体格检查的108例老年人,统计患者肺部结节发生情况.研究者设计基线资料调查表,详细记录患者基线资料,将可能的影响因素纳入,找出可能导致老年人群肺部结节发生的影响因素.结果:108例老年人经检查发生肺部结节32例,发生率为29.63%(32/108).两组长期吸烟、肺结核病史、幽门螺杆菌(Hp)感染比较,差异有统计学意义(P<0.05).经Logistic回归分析结果显示,长期吸烟、肺结核病史、Hp感染是导致老年人群肺部结节发生的高危因素(OR>1,P<0.05).结论:老年人群肺部结节发生率较高,长期吸烟、肺结核病史、Hp感染均为老年人群肺部结节发生的高危因素.

Objective:analyze the incidence and high-risk factors of pulmonary nodules in the elderly.Methods:One hundred and eight people who underwent physical examination in the 83rd Group Military Hospital of the PLA Army from May 2018 to April 2021 were selected,and the incidence of pulmonary nodules of patients was counted.The researchers designed a baseline data questionnaire,recorded the baseline data of patients in detail,included possible influencing factors,and the influencing factors that might lead to pulmonary nodules in the elderly were found out.Results:After examination,32 of 108 elderly patients developed pulmonary nodules,with an incidence rate of 29.63%(32/108);compared long-term smoking,history of pulmonary tuberculosis and Helicobacter pylori(Hp)infection between the two groups,the difference was statistically significant(P<0.05).The results of Logistic regression analysis showed that long term smoking,history of pulmonary tuberculosis and Hp infection were the risk factors for the incidence of pulmonary nodules in elderly people(OR>1,P<0.05).Conclusion:The incidence of pulmonary nodules in the elderly is high,long-term smoking,history of pulmonary tuberculosis and Hp infection are risk factors for lung nodules in the elderly.