老年心力衰竭合并肺部感染的相关危险因素分析

Analysis of Related Risk Factors and Intervention Measures of Elderly Heart Failure with Pulmonary Infection

目的探讨老年心力衰竭合并肺部感染的相关危险因素。方法回顾性分析2018年1月至2020年3月我院接诊的76例老年心力衰竭患者临床资料,分析老年心力衰竭合并肺部感染的相关危险因素。结果76例患者中出现肺部感染37例(48.68%);Logistic回归分析:年龄≥80岁、吸烟、高血压史、糖尿病史、慢性阻塞性肺疾病史、抗生素滥用、长期卧床是老年心力衰竭合并肺部感染的独立危险因素(P<0.05且OR≥1)。结论老年心力衰竭合并肺部感染是由吸烟、高血压、抗生素滥用等多种因素共同作用结果,临床需针对各项危险因素实施相应措施,以减少肺部感染发生,改善患者预后。

Objective To explore the related risk factors and intervention measures of elderly heart failure with pulmonary infection.Methods The clinical data of 76 elderly patients with heart failure admitted to our hospital from January 2018 to March 2020 were retrospectively analyzed,and the related risk factors of elderly heart failure with pulmonary infection were analyzed.Results 37 patients(48.68%)had pulmonary infection in 76 patients;Logistic regression analysis:age≥80 years,smoking,history of hypertension,history of diabetes,chronic obstructive pulmonary disease,antibiotic abuse,long-term bed rest is elderly heart failure Independent risk factors for pulmonary infection(P<0.05 and OR≥1).Conclusion Elderly heart failure combined with pulmonary infection is the result of a combination of factors such as smoking,hypertension,and antibiotic abuse.The clinical need to implement corresponding measures for various risk factors to reduce the incidence of pulmonary infection and improve the patient’s prognosis.