住院老年肺部感染患者并发MODSE的高危患者调查研究

Investigation on high risk cases of MODSE caused by pulmonary infection in the elderly inpatients

目的调查住院老年肺部感染患者并发老年多器官功能障碍综合征(MODSE)的高危患者,为早期预防老年肺部感染并发MODSE提供依据。方法采用"MODSE早期预测评分系统"对住院老年肺部感染患者进行评分,筛查住院老年肺部感染患者并发MODSE的高危患者,并对其危险因素的分布情况进行分析。结果对住院老年肺部感染患者137例进行调查,筛查出MODSE高危患者64例,占总调查患者数的46.72%。具有慢性呼吸衰竭、慢性心功能不全、肺间质纤维化、慢性肾功能不全等疾病的老年肺部感染患者绝大多数是MODSE高危患者。结论 MODSE高危患者在住院老年肺部感染患者中占有较高的比例。对于住院老年肺部感染患者中的MODSE高危患者,应加强对各器官功能的监测,注意防范MODSE的发生。

Objective To investigate the high risk cases of MODSE caused by pulmonary infection in the elderly inpatients and lay the foundation for the early prevention of MODSE caused by pulmonary infection. Methods Clinical data of patients with lung infec-tion of senile inpatients were collected and were scored by the early prediction score system of MODSE. The high risk cases of MODSE caused by pulmonary infection in the elderly inpatients were screened and the distribution of risk factors were analyzed. Results Totally 137 cases of pulmonary infection in the elderly inpatients were investigated. Among them,64 cases were classed in the high-risk cases of MODSE caused by pulmonary infection,accounting for 46. 72%. The majority of pulmonary infection in the elderly inpatients with chronic respiratory failure,chronic heart failure,pulmonary interstitial fibrosis or chronic renal insufficiency,were the high risk ca-ses of MODSE caused by pulmonary infection in the elderly inpatients. Conclusion The high risk cases of MODSE caused by pulmo-nary infection occupy a higher proportion in the elderly inpatientd. The related risk factor should be monitored.