老年患者呼吸道感染临床分析

Clinical analysis of elderly patients with respiratory tract infections

目的 探讨老年呼吸道感染临床特征.方法 对90例老年呼吸道感染患者的临床资料进行回顾性分析,包括疾病类型、病原菌检验结果等,将所得资料进行统计学分析后得出结论.结果 90例老年呼吸道感染患者痰液样本中共检出致病菌119株,革兰阴性菌检出率（89.92％）显著高于革兰阳性菌（10.08％）及真菌（0.84％）,其中肺炎克雷伯菌、大肠埃希菌、铜绿假单胞菌所占比例较高（分别为35.29％、25.21％、14.29％）;对大肠埃希菌、肺炎克雷伯菌及铜绿假单胞菌等老年呼吸系统感染主要致病菌耐药性分析可知,亚胺培南、庆大霉素、头孢哌酮耐药率较高（P ＜0.05）;90例老年呼吸道感染患者经临床治疗后总有效率高达100.00％,无效率为0,有效率与无效率比较差异有统计学意义（P＜0.05）.结论 对老年呼吸道感染患者给予积极的致病菌及耐药性检验有利于医生制定正确的治疗方案,提高其治疗效果及生活质量.

Objective To investigate the clinical features of respiratory tract infections in elderly patients.Methods To retrospectively analyze the clinical data of 90 cases of elderly respiratory tract infections,including the type of disease,pathogen test results,etc.,and the resulting data were statistically analyzed after the conclusion.Results One hundred and sixteen sputum samples were detected in 90 cases of elderly patients with respiratory tract infections,the detection rate of Gram-negative bacteria （89.92%） was significantly higher than Gram-positive bacteria （10.08%） and fungi （0.84%）,which Klebsiella pneumoniae,Escherichia coli,Pseudomonas aeruginosa had higher proportion （respectively 35.29%,25.21%,14.29%）.For analyzing the resistance of Escherichia coli,Klebsiella pneumoniae and Pseudomonas aeruginosa monocytogenes infection on mainly pathogens of elderly respiratory tract infections,the resistance of imipenem,gentamicin,cefoperazone were higher （P 〈 0.05）.The total efficiency of 90 elderly patients respiratory tract infections after clinical treatment up to 100.00%,the inefficiency was 0,the difference was statistically significant （P 〈 0.05）.Conclusions Respiratory tract infections in elderly patients are give positive pathogens and drug resistance testing can help a doctor to develop the right treatment plan to improve their treatment and quality of life.