429例非重症社区获得性肺炎住院患者治疗情况的分析

Analysis of the Treatment Status of 429 Hospitalized Non-severe Community Acquired Pneumonia Patients

目的通过分析非重症社区获得性肺炎(CAP)住院患者的治疗情况,了解其与国内外指南的符合情况。方法以429例非重症CAP住院患者为研究对象,回顾性分析患者住院情况及抗生素应用情况。结果根据中国CAP诊治指南及肺炎严重指数(PSI),429例CAP患者中65.26%的患者符合住院标准,66.20%的患者住院后抗生素应用遵循指南,抗生素应用与指南有差异组与抗生素应用遵循指南组比较其转归差异无统计学意义(P>0.05)。结论根据中国CAP诊治指南及PSI分级,本临床分析中的429例CAP住院患者大部分符合住院标准,抗生素应用基本遵循指南。

Objective To assess the degree of compliance with domestic and international guidelines for community acquired pneumonia （CAP） by analyzing the treatment of hospitalized non-severe CAP patients. Methods A total of 429 hospitalized patients with non-severe CAP was enrolled. A retrospective analysis of admission and antibiotics use was undertaken. Results According to Chinese CAP guidelines and pneumonia severity index （PSI）, the admission criteria were met and antibiotics was used in compliance with the guidelines in 65.26% and 66.20% of the 429 CAP cases,respectively. The difference between the poor comphance group and good compliance group in clinical treatment outcome was not statistically significant （P 〉 0.05 ）. Conclusion The admission criteria were met and guidelines for antibiotics use was complied with in most cases of the 429 hospitalized CAP patients according to the Chinese CAP guidelines and PSI risk classification.