社区获得性肺炎95例临床特征分析

Clinical Features Analysis of Community Acquired Pneumonia in 95 Patients

目的探讨社区获得性肺炎(community acquired pneumonia,CAP)患者的临床特征。方法总结分析我院近1年内95例CAP患者的年龄段分布、临床表现及治疗时间。结果我院CAP患者主要分布在青年组(17～29岁)和老年组(60～90岁),分别占37.9%和49.5%;老年组有发热症状者为44.7%,而中青年组为70.8%,差异有统计学意义(p<0.01);咳嗽等其它症状老年组与中青年组比较无统计学意义(p>0.05);老年组患者使用抗菌药物进行治疗的时间为(17.6±8.8)d,而中青年组分别为(10.7±6.1)d和(8.4±3.8)d,差异有统计学意义(p<0.05)。结论老年患者较中青年者临床症状常不典型,病程持续时间较长,当老年患者出现某些原因不明的症状时,应注意警惕肺炎的可能,并作相关检查以尽早明确诊断,及时治疗。

Objective To analyze the clinical feature of CAP in 95 patients. Method A study Of age distribution, clinical manifestations and treatment time was given to the patients of CAP in southwest university hospital. Results CAP patients in our hospital are mainly distributed in the young group （aged 17-29,accounting for 37.9%） and old （aged 60-90,accounting for 49.5%）. Only 49.5%,of patients in older group had fever while 70. 8%,of patients had in the young and middle-aged group. There are not significant differences between the two groups for cough and other symptoms（p〉0.05） except for fever（p〈0.01）. The time of treatment with antibiotics is （8. 4±3.8） days,（10.7 ± 6.1）days and（17.6±8.8）days, respectively in the young, middle-aged and old group. There is a significant difference between the old group and the young group （p〈0.05）. Conclusion Compared with the young and middle-aged patients, the clinical symptoms of the old patients were not typical and the course of disease was longer. The old patients should be given intensive checking when they have unexplained symptoms. They should be identified quickly and given prompt treatment because it is possibly for them to have pneumonia.