北京地区军队离退休干部社区获得性肺炎危险因素的病例-对照研究

A case control study of risk factors for community acquired pneumonia among retired military veterans in Beijing

目的探讨北京地区离退休干部社区获得性肺炎(CAP)的相关危险因素。方法采用病历对照研究,2010年3月至2010年6月对北京地区4所干休所军队离退休人员进行横断面调查。共收集病人345例,其中CAP患者94例为病例组,余251例患者作为对照组,采用losgistic回归模型进行多因素分析。结果多因素分析显示年龄、吸烟、充血性心衰、COPD病史、吸入糖皮质激素与CAP相关。结论年龄大、吸烟、有充血性心衰、COPD病史、应用吸入糖皮质激素的离退休干部更容易发生CAP,因此具有这些特征的老年人应特别注意对CAP的预防。

Objective To identify the risk factors of community acquired pneumonia（CAP） among retired military veterans in Beijing.Methods A cross sectional survey from March 1st,2010 to June 30th,2010 was carried out in 4 health centers,Beijing.345 responders finished the survey,non conditional logistic regression model was applied for odd ratio（OR） and 95% CI.Results Through the multivariate logistic regression,it was found that the risk factors of CAP were increased with regard to age,smoking,chronic respiratory system diseases and inhalation of corticosteriods.Conclusion Elderly age,smoking,congestive heart failure,COPD and inhalation of corticosteroid may be the risk factors of CAP.The effective measures should be taken to prevent community acquired pneumonia in elder persons with these characteristics.