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目的:探讨老年医院获得性肺炎患者的临床特点,找出其发病的高危因素并进行相应的护理。方法:对128例医院获得性肺炎老年患者的相关临床资料、发病因素、病原菌进行分析,并提出相应的护理对策。结果:感染患者中的高危因素有超高龄(患者年龄80岁以上),入院时间3个月以上,多种基础疾病并发以及过度使用抗生素(平均使用2周以上),卧床1周以上,此类均为患者较易发病的易感因素。患者感染病原菌主要为革兰阴性杆菌,占到56.25%。结论:老年医院获得性患者中高龄、住院时间长、多基础病、过度抗生素使用以及卧床均为其患病的高危因素,通过对病历的回顾研究能够使我们加深对患者的临床表现了解,使护理更加具有针对性。
Objective: To investigate the clinical characteristics of elderly patients with acquired pneumonia and identify the high risk factors for their pathogenesis and to provide corresponding nursing care. Methods: The clinical data, pathogenesis and pathogens of 128 elderly patients with hospital-acquired pneumonia were analyzed and corresponding nursing strategies were proposed. Results: The risk factors of infection in patients with ultra-aged (patients over 80 years of age), admission time of more than 3 months, a variety of underlying diseases and overuse of antibiotics (average use of more than two weeks), bedridden more than 1 week, such Patients are susceptible to the incidence of susceptibility factors. The main pathogens of patients infected with gram-negative bacilli, accounting for 56.25%. Conclusion: Elderly patients with acquired age, long duration of hospitalization, multiple basic diseases, overuse of antibiotics, and bedridden are risk factors for their illness. A review of the medical records will enable us to deepen our understanding of the clinical manifestations of the patients so that Nursing more targeted.