社区获得性肺部感染的影响因素研究

Related factors of community-acquired pneumonia

摘要:

目的  探讨社区获得性肺炎（CAP）的影响因素。方法  选取2013年6月-2015年7月该院收治的CAP患者183例作为观察组，随机选取同期150例非CAP患者作为对照组。比较两组的性别、年龄、体重指数、吸烟史、饮酒史、宠物饲养史、粉尘接触史、基础疾病、收缩压、舒张压、血白蛋白水平等临床资料，采用多因素Logistic回归分析患者发生认知功能减退的影响因素。结果  两组在BMI、吸烟史、宠物饲养史、粉尘接触史、呼吸系统疾病史、糖尿病史、肾脏疾病史、血白蛋白水平等方面比较，差异具有统计学意义（P <0.05）。多因素Logistic回归分析结果表明，宠物饲养史、糖尿病史是CAP发生的独立危险因素，血白蛋白≥35 g/L是其独立保护因素（P <0.05）。结论  宠物饲养史、糖尿病史及低白蛋白血症是CAP发生的高危因素，应采取针对性的预防措施，尽可能降低CAP的发生。

Abstract:

Objective To explore the related factors of community-acquired pneumonia (CAP). Methods Totally 183 patients with CAP from June 2013 to July 2015 were enrolled into observation group. And 150 patients without CAP in the same period were into control group. Gender, age, body mass index (BMI), history of smoking, drinking, pet-raising, dust exposure, basic diseases, systolic blood pressure (SBP), diastolic blood pressure (DBP), and blood albumin level were compared between the two groups. Multivariate logistic regression analysis was performed to investigate the related factors of CAP. Results There were significant diffe-rences in BMI, history of smoking, pet-raising, dust exposure, respiratory diseases, diabetes, kidney diseases and blood albumin level between the two groups (P < 0.05). Multivariable logistic regression analysis showed that history of pet-raising and diabetes were the independent risk factors for CAP, and blood albumin ≥ 35 g/L was the independent protective factor (P < 0.05). Conclusions History of pet-raising, diabetes and low blood albumin level are the high risk factors for CAP. Therefore, corresponding preventive measures should be given to reduce the occurrence of CAP.