摘要
本文总结了我院近14年间收治住院的老年糖尿病中并发各种临床类型感染168例,并与非老年糖尿病合并感染104例进行比较分析。老年糖尿病患者感染发生率为51.38%,明显高于非老年组(26.33%,P<0.001),以呼吸道感染最为多见,其次为尿路感染、胆道感染、结核病等。引起感染的病原体以革兰阴性杆菌为多(占81%以上),其中肺炎杆菌、绿脓杆菌等最为常见。其病死率(23.81%)明显高于非老年糖尿病患者(14.42%,P<0.05)。故在治疗老年糖尿病合并感染时,除尽快控制血糖,有针对性应用抗菌药物外,尚应重视全身重要脏器的保护。
The clinical data of 168 elderly patients with diabetic mellitus admitted to Huashan
Hospital during the period of July 1976 to January 1990 were analysed and compared with
those of 104 cases of diabetic mellitus under 60 years.It was found that the infection rate
(51.38%)and mortality rate(23.81%)in the elderly group were higher than those of
patients under 60 years(24.01% and 14.42% respectively).There was significant difference
between the rates of the two groups.The most responsible pathogens were gram-negative
bacilli(81.00%),among which Klebsiella pneumoniae and Pseudomonas were the most
frequently observed.
出处
《上海医学》
CAS
CSCD
北大核心
1991年第12期699-702,共3页
Shanghai Medical Journal
