老年糖尿病患者合并社区获得性肺炎临床特点分析

Clinical characteristics of elderly diabetic patients with community-acquired pneumonia

目的:探讨老年糖尿病患者合并社区获得性肺炎临床特点。方法:回顾性分析2012年5月至2014年5月1 041例老年糖尿病患者的临床资料。结果:158例合并有社区获得性肺炎,分离出病原菌102株,菌群分布以革兰阴性菌居多,占61.76%,分离率在前四位的病原菌依次是大肠埃希菌、金黄色葡萄球菌、克雷伯菌、凝固酶阴性葡萄球菌(coagulasenegative staphylococcus,CNS)。结论:老年糖尿病患者合并社区获得性肺炎发生率高,感染症状部分不典型,应将胸部X线检查作为常规检查,合理控制血糖,并配合使用抗生素是治疗的关键。

Objective：To investigate the clinical characteristics of elderly diabetic patients with community-acquired pneumoni-a. Methods：Retrospectively analyze the clinical data of the 1 041 cases of elderly diabetic patients from May 2012 to May 2014. Re-sults：There were 158 cases with community acquired pneumonia,102 pathogens were isolated from 96 cases and the isolation rate was 60. 76%,G-bacterial were common in these patients,accounted for 61. 3% of the total bacteria,isolation rate of the top four pathogens were Escherichiacoli,Staphylococcus aureus,Klebsiella and Coagulase-negative staphylococcus. Conclusion：The incidence of communi-ty-acquired pneumonia in elderly diabetic patients is high,some are not typical signs of infection,and therefore chest X-ray examination should be considered as routine check,reasonable control of blood glucose,the rational use of antibiotics is the key to treatment.