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目的:探析心血管疾病患者合并肺部感染的高危因素及预防措施,为临床今后防治肺部感染提供参考和借鉴依据。方法:本研究随机选取我院2011年2月~2013年4月期间心血管内科住院合并肺部感染患者90例研究对象,回顾性分析其临床资料。结果:经过积极的治疗后心血管疾病症状明显好转且稳定,肺部感染患者经过对症处理后咳嗽、咳痰、发热等临床症状明显减轻,各项观察指标明显好转;经过单因素分析其中年龄≥60岁、COPD者、合并心力衰竭、卧床、基础疾病种类、应用抗菌药物种类和时间、侵入性操作、住院时间均为导致肺部感染的因素,多因素分析显示年龄≥60岁、COPD者、合并心力衰竭、卧床为肺部感染的独立高危因素。结论:心血管疾病合并肺部感染独立高危因素为年龄≥65岁、COPD者、合并心力衰竭、卧床,对于该类人群相关的危象因素制定并实施相应科学合理的预防措施能促进肺部感染率降低,具有极为重要的指导意义。
Objective: To explore the risk factors and preventive measures of pulmonary infection in patients with cardiovascular diseases, and to provide references for prevention and treatment of pulmonary infection in the future. Methods: This study randomly selected 90 cases of hospitalized patients with pulmonary infection in our hospital from February 2011 to April 2013, and retrospectively analyzed the clinical data. Results: After active treatment, the symptom of cardiovascular disease was obviously improved and stabilized. After symptomatic treatment, the clinical symptoms of cough, expectoration and fever were significantly relieved in all patients with pulmonary infection, and all the observation indexes were obviously improved. After univariate analysis, 60 years old, COPD, heart failure, bed rest, types of underlying diseases, types and durations of antimicrobial agents, invasive procedures, and hospital stay were all the factors that led to pulmonary infection. Multivariate analysis showed that age ≥60 years, COPD, Combined with heart failure, bedridden lung infection independent risk factors. Conclusion: The independent risk factors of cardiovascular disease complicated with pulmonary infection are age ≥ 65 years old, COPD, heart failure, bed rest, the development of relevant scientific and reasonable risk factors for such people and the implementation of appropriate scientific and reasonable preventive measures can promote lung infection Lower rates, with a very important guiding significance.