[1]任　伟,王玉梅,陈永健.老年糖尿病肾病患者血液透析相关肺炎危险因素分析[J].新乡医学院学报,2021,38(1):076-79.[doi:10.7683/xxyxyxb.2021.01.017]
　REN Wei,WANG Yumei,CHEN Yongjian.Analysis of the risk factors of hemodialysis associated pneumonia in elderly patients with diabetic nephropathy[J].Journal of Xinxiang Medical University,2021,38(1):076-79.[doi:10.7683/xxyxyxb.2021.01.017]
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老年糖尿病肾病患者血液透析相关肺炎危险因素分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
38
期数:
2021年1
页码:
076-79
栏目:
临床研究
出版日期:
2021-01-05

文章信息/Info

Title:
Analysis of the risk factors of hemodialysis associated pneumonia in elderly patients with diabetic nephropathy
作者:
任　伟1; 王玉梅2; 陈永健3
（1.青海省第五人民医院老年科，青海　西宁　810000；2.青海省第五人民医院血液透析室，青海　西宁　810000；3.青海省第五人民医院肾内科，青海　西宁　810000）
Author(s):
REN Wei1; WANG Yumei2; CHEN Yongjian3
(1.Department of Geriatrics,the Fifth People′s Hospital of Qinghai Province,Xining 810000,Qinghai Province,China2.Hemodialysis Room of the Fifth People′s Hospital of Qinghai Province,Xining 810000,Qinghai Province,China3.Department of Nephrology,the Fifth People′s Hospital of Qinghai Province,Xining 810000,Qinghai Province,China)
关键词:
2型糖尿病; 血液透析; 医院获得性肺炎
Keywords:
type 2 diabetes mellitushemodialysishospital acquired pneumonia
分类号:
R692
DOI:
10.7683/xxyxyxb.2021.01.017
文献标志码:
A
摘要:
目的　探讨老年糖尿病肾病（DN）患者血液透析相关肺炎的危险因素，为临床预防血液透析相关肺炎提供参考。方法　回顾性分析2016年1月至2019年1月青海省第五人民医院收治的590例老年DN患者的临床资料，观察老年DN患者血液透析相关肺炎发生情况，采用单因素和多因素 logistic 回归分析老年DN患者血液透析相关肺炎的危险因素。结果　590例老年DN患者中，发生血液透析相关肺炎60例，未发生血液透析相关肺炎530例，血液透析相关肺炎发生率为10.17%（60/590）。单因素分析结果显示，年龄、糖尿病病程、白蛋白水平、血清总蛋白水平、入院季节、容量超负荷、使用促胃动力药物、糖化血红蛋白水平与老年DN患者发生血液透析相关肺炎有关（P＜0.05），性别、餐后2 h血糖、是否合并高血压、是否合并冠状动脉粥样硬化性心脏病、血红蛋白水平、住院时间与老年DN患者发生血液透析相关肺炎无关（P>0.05）。Logistic回归分析显示，年龄、糖尿病病程、容量超负荷、入院季节、使用促胃动力药物、糖化血红蛋白水平、白蛋白水平是老年DN患者发生血液透析相关肺炎的独立危险因素（P＜0.05）。结论　老年DN患者血液透析相关肺炎发生率较高，年龄、糖尿病病程、容量超负荷、入院季节、使用促胃动力药物、糖化血红蛋白水平、白蛋白水平是老年DN患者发生血液透析相关肺炎的独立危险因素；应针对血液透析相关肺炎的独立危险因素，制定相应的预防措施，以降低老年DN患者血液透析相关肺炎的发生率。
Abstract:
Objective　To investigate the risk factors of hemodialysis associated pneumonia in elderly patients with diabetic nephropathy (DN),and to provide reference for clinical prevention of hemodialysisassociated pneumonia.Methods　　The clinical data of 590 elderly patients with DN admitted to the Fifth People′s Hospital of Qinghai Province from January 2016 to January 2019 were retrospectively analyzed.The incidence of hemodialysis associated pneumonia in elderly patients with DN was observed.The risk factors of hemodialysis associated pneumonia in elderly patients with DN were analyzed by univariate and multivariate logistic regression.Results　Among the 590 elderly patients with DN,there were 60 cases with hemodialysis associated pneumonia and 530 cases without hemodialysis associated pneumonia,the incidence of hemodialysis associated pneumonia was 10.17% (60/590).Univariate analysis showed that the age,the duration of diabetes,albumin level,serum total protein level,admission season,volume overload,using gastric motility drugs,glycosylated hemoglobin level were associated with hemodialysis associated pneumonia in elderly patients with DN (P<0.05);while the gender,2 hour postprandial blood glucose,whether or not complicated hypertension and coronary atherosclerotic heart disease,hemoglobin level and hospitalization time were not associated with hemodialysis associated pneumonia in elderly patients with DN (P>0.05).Logistic regression analysis showed that the age,duration of diabetes,volume overload,admission season,using gastric motility drugs,glycosylated hemoglobin level and albumin level were the independent risk factors for hemodialysisassociated pneumonia in elderly patients with DN (P<0.05).Conclusion　The incidence of hemodialysis associated pneumonia is higher in elderly patients with DN.The age,duration of diabetes,volume overload,admission season,using gastric motility drugs,glycosylated hemoglobin level and albumin level are the independent risk factors for hemodialysis associated pneumonia in elderly patients with DN.The appropriate precautionary measures should be made for the independent risk factors in order to reduce the incidence of hemodialysis associated pneumonia in elderly patients with DN.

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更新日期/Last Update: 2021-01-05