高龄院内获得性肺炎的诊治体会

Diagnosis and treatment of hospital acquired pneumonia in elderly patients

目的:探讨高龄院内获得性肺炎的诊治方法。方法:收治院内获得性肺炎患者50例,解析患者诊治状况、原始痰培养与药物敏感性、机械通气时间与病死率。结果:原始细菌培养阳性菌株,其中革兰阴性菌株、铜绿假单胞菌占首位;革兰阳性菌均为耐甲氧西林金黄色葡萄球菌。初始细菌培养阳性患者中,细菌适量组与细菌不适量组患者平均通气时间差异有统计学意义(P<0.05)。结论:高龄院内获得性肺炎的致病菌耐药率高,科学应用抗生素治疗该类疾病,能够减缩患者机械通气时间,强化临床治疗效果。

Objective：To investigate the diagnosis and treatment of hospital acquired pneumonia in the elderly patients.Methods：A total of 50 patients with hospital acquired pneumonia were enrolled in this study.The common condition,primary sputum culture and drug sensitivity,mechanical ventilation time and fatality rate were analyzed.Results：Among the original bacterial culture positive strains,the gram negative strains and pseudomonas aeruginosa accounted for the first place;gram positive strains were methicillin-resistant staphylococcal.In the initial bacterial culture positive patients,there was a statistically significant difference in the average ventilation time between the bacterial amount group and the bacterial deficiency group（P〈0.05）.Conclusion：The resistance rate of nosocomial pneumonia in elderly patients is high,and the scientific application of antibiotics can reduce the time of mechanical ventilation and strengthen the effect of clinical treatment.