慢性阻塞性肺疾病合并梅毒感染的临床特征及护理策略

Clinical characteristics and nursing strategies of chronic obstructive pulmonary disease complicated with syphilis infection

目的探讨慢性阻塞性肺疾病(慢阻肺),合并梅毒感染的临床特征,并提出针对性护理措施。方法选取2015年1月至2018年6月德阳市人民医院诊治的21例慢阻肺合并梅毒感染患者和21例慢阻肺患者为研究对象,将21例慢阻肺合并梅毒感染患者设为研究组,将21例慢阻肺患者设为对照组,比较分析两组患者临床资料和肺功能指标。结果研究组患者文化程度普遍较低,以高中及以下学历为主(95.23%),高于对照组患者占比(52.38%),其差异具有统计学意义(P<0.05)。研究组患者已婚/同居率(52.38%)显著低于对照组患者(85.71%),其差异具有统计学意义(P<0.05)。研究组患者婚外性行为/不安全性行为发生率高于对照组患者,其差异具有统计学意义(P<0.05)。研究组患者FEV1(%)、FCV(%)、PaO2(kPa)均显著低于对照组患者,其差异均具有统计学意义(均P<0.05)。研究组患者PaCO2(kPa)高于对照组患者,其差异具有统计学意义(P<0.05)。结论梅毒感染会影响老年慢阻肺患者肺功能,需要积极进行治疗,给予特殊的护理干预措施;同时,应当加强老年人性疾病健康教育,降低梅毒感染发生率。

Objective To explore the clinical characteristics of chronic obstructive pulmonary disease(COPD) complicated with syphilis infection and to put forward pertinent nursing measures. Methods 21 COPD patients with syphilis infection and 21 COPD patients treated in Deyang People’s Hospital from January 2015 to June 2018 were selected as the study subjects. 21 COPD patients with syphilis infection were selected as the study group and 21 COPD patients as the control group. The clinical data and pulmonary function indexes of the two groups were compared and analyzed. Results The educational level of the study group was generally low, mainly high school and below(95.23%), higher than that in the control group(52.38%), with statistically significant difference(P<0.05). The rate of marital status(married/cohabiting) in the study group(52.38%) was lower than that in the control group(85.71%), with statistically significant difference(P<0.05). The incidence of extramarital sexual behavior/unsafe sexual behavior in the study group was higher than that in the control group, with statistically significant difference(P<0.05). FEV1(%), FCV(%) and PaO2(kPa) in the study group were significantly lower than those in the control group, with statistically significant differences(all P<0.05). PaCO 2(kPa) in the study group was higher than that in the control group, with statistically significant difference(P<0.05). Conclusions Syphilis infection can affect the lung function of elderly COPD patients, so active treatment and targeted nursing intervention is necessary and health education should be strengthened to reduce the incidence of syphilis infection.