医药学论文：社区老年糖尿病患者肺部感染的临床分析

关键词：糖尿病;肺部感染;老年
摘要:目的 分析社区老年糖尿病伴肺部感染的特点，探讨其防治措施。 方法 将196例老年肺部感染按有无糖尿病分为糖尿病组和非糖尿病组，对照分析其实验室检查、病原菌分布特点，治疗及转归等比值差异。 结果 糖尿病组低氧血症、电解质紊乱的发生率明显高于非糖尿病组，差异有显著性（P< 0.01）。糖尿病组以G - 杆菌感染为主，非糖尿病组以G + 球菌感染为主。糖尿病组的平均住院天数及死亡率均明显高于非糖尿病组（P< 0.01）。 结论 老年糖尿病患者由于免疫功能低下等原因易发生肺部感染，防治本病的关键是控制血糖，有效应用抗生素。
关键词:糖尿病;肺部感染;老年
Clincial analysis of pulmonary infection in senile diabetes patients.
Abstract:Objective To analyze the clinical characteristics of diabetes mellitus（DM）complicated with lung infection among el-derly patients and explore the measures for prevention and treatment of the disease. Methods 196elderly patients with lung infec-tions were divided into diabetes group an non-diabetes group according to whether suffering from diabetes mellitus，and the results of laboratory tests，distribution of pathogen，treatment and prognosis were analyzed. Results The incidences of hypoxemia，elec-trolyte disorder in diabetes group were significantly higher than that in non-diabetes group.The infections were caused mainly by Gram-negative bacilli in diabetes group，but by Gram-positive bacilli.in non-diabetes group.The average admission days and mortality were higher in diabetes group than in non diabetes group. Conclusion The immune function in elderly patients with dia-betes mellitus is lower and subject to lung infection.The key measures for prevention and treatment of elderly diabetes mellitus com-plicated with lung infection are control ling the level of blood glucose and application of effective antibiotics.
Key words:Elderly diabetes mellitus patients;Lung infection;Prevention and treatment
糖尿病病人由于机体免疫功能低下等原因，容易并发感染尤其是肺部感染，而感染又可加重糖尿病病情。近年来随着老年糖尿病的患病率不断上升，老年糖尿病伴肺部感染已成为临床上一大难题，探讨分析其病因和好发因素对老年糖尿病伴肺部感染的预防和治疗有重要意义，现分析64例老年糖尿病合并社区肺部感染的临床与病原学资料，结果报告如下。