老年重症社区获得性肺炎预后危险因素的临床观察

Clinical observation of risk factors of prognosis in elderly patients with severe community acquired pneumonia

目的:探讨老年重症社区获得性肺炎预后危险因素。方法:收治老年重症社区获得性肺炎患者100例,回顾性分析其临床资料。结果:年龄、氧合指数、休克及意识模糊是影响老年重症社区获得性肺炎预后的重要单因素(P<0.05)。急性肾衰竭、意识模糊、休克、合并慢性阻塞性肺疾病等是老年重症社区获得性肺炎预后独立性危险因素(P<0.05)。结论:老年重症社区获得性肺炎预后危险因素较多且复杂,应对预后危险因素进行针对性干预,以提高老年患者的生活质量。

Objective:To explore the risk factors of prognosis in elderly patients with severe community acquired pneumonia.Methods:100elderly patients with severe community acquired pneumonia were selected,and the clinical data were retrospectivelyanalyzed.Results:Age,oxygenation index,shock and confusion of consciousness were important single factors of affecting theprognosis in elderly patients with severe community acquired pneumonia(P<0.05).Acute renal failure,confusion of consciousness,shock,and chronic obstructive pulmonary disease were independent risk factors of affecting the prognosis in elderly patients withsevere community acquired pneumonia(P<0.05).Conclusion:Prognostic risk factors in elderly patients with severe communityacquired pneumonia were more and complex,and we should carry out targeted interventions for risk factors to improve the qualityof life of elderly patients.