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重症肺炎临床特点及其并发抗生素相关性腹泻的临床分析 被引量:9

Clinical characteristics of severe bacterial pneumonia in the elderly and analysis of risk factors for antibiotic-associated diarrhea diarrhea
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摘要 目的分析重症肺炎(SP)临床特点及其并发抗生素相关性腹泻(AAD)危险因素。方法选取2018年7月至2020年10月我院收治的67例细菌性SP患者为对象,统计细菌性SP临床特点及AAD发生情况,采用Logistic回归分析影响细菌性SP患者并发AAD的危险因素。结果细菌性SP患者临床特征多样,多表现为咳嗽、呼吸困难、咳痰、发热,肺部多见水泡音。67例细菌性SP患者中,19例(28.36%)并发AAD。Logistic多因素回归分析显示抗生素长时间使用、联用抗生素;应用阿莫西林/克拉维酸是影响细菌性SP患者并发AAD的危险因素[OR(95%CI)分别为3.370(1.387~8.191),4.067(1.674~9.885),3.967(1.632~9.641),P均<0.05]。结论细菌性SP患者临床特征多样,并发AAD风险高,抗生素长时间使用、联用抗生素、应用阿莫西林/克拉维酸是影响细菌性SP患者并发AAD的危险因素。
作者 徐元平 杨辉 魏继红 梅海霞 唐玉珍 Xu Yuanping;Yang Hui;Wei Jihong
出处 《中华肺部疾病杂志(电子版)》 2021年第4期472-474,共3页 Chinese Journal of Lung Diseases(Electronic Edition)
基金 安徽省科技计划项目(1706c08532)。
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