全科医疗实践中老年和青壮年社区获得性肺炎的临床特征对比探讨

Comparative Discuss of Clinical Features of Middle-aged and Young Adults Community-acquired Pneumonia in General Medical Practice

目的：对比全科医疗实践中青壮年以及老年患者社区获得性肺炎具体临床特征。方法：抽取2014年1月-2015年12月某院收治的55例老年组的相应社区获得性肺炎患者以及55例青壮年组的相应社区获得性肺炎患者作为研究对象,采取回顾性分析方法分析并且对比两组患者病原分布和主要临床特点。结果：青壮年组患者病原分布相对集中,并且两组患者都主要是细菌感染,对于非典型病原体,比较差异存在统计意义（P〈0.05）;老年组患者基础疾病发生率、纳差症状和肺部湿罗音症状出现率明显高于青壮年组,而青壮年组胸痛发生率则显著高于老年组患者,比较差异存在统计意义（P〈0.05）。结论：青壮年以及老年患者社区获得性肺炎具体临床特征与患者病原分布情况之间存在很大差异性,只有了解老年患者社区肺炎相关特点之后,才能及时给予有效治疗措施,显著改善患者病情。

Objective：To compare the clinical features of middle-aged and young adults community-acquired pneumonia in General medical practice.Methods：55cases of patients in older group and 55 cases of patients in young group with community-acquired pneumonia treated in a hospital from January 2014 to December 2015 were selected as the research objects.Then analyzed and compared the pathogen distribution and clinical features by retrospective analysis method.Results：The pathogen distribution of young group was relatively centralized,and both groups were mainly bacterial infections.For atypical pathogens,the difference was statistically significant（P〈0.05）;The incidence of underlying diseases,anorexia symptoms and lung wet rale symptoms of older group were significantly higher than those of young group,and the incidence of chest pain of young group was significantly higher than that of older group,which the differences were statistically significant（P〈0.05）.Conclusion：There is a big difference of pathogen distribution and clinical features between middle-aged and young adults community-acquired pneumonia.Only by understanding the related characteristics of middle-aged community-acquired pneumonia can provide timely and effective treatment,and improve patient＇s condition significantly.