【摘要】：目的探討分析呼吸內(nèi)科患者院內(nèi)細菌感染的情況,并分析其危險因素。方法選擇我院呼吸內(nèi)科進行住院治療且發(fā)生院內(nèi)感染的81例患者作為研究對象,同時隨機抽取同一時期在我院進行住院治療的非院內(nèi)感染患者100例作為對照組,統(tǒng)計比較兩組患者的基礎疾病、本次住院主要針對治療病種、治療方法、是否存在侵入性操作、是否使用激素、是否使用免疫抑制劑類藥物等。結(jié)果我院院內(nèi)感染的發(fā)生率為1.97%,所占比例最高的為下呼吸道感染,共計發(fā)生58例(71.61%),其次為上呼吸道感染(19.75%)。共鑒定出164株病菌種類,革蘭陰性菌是院內(nèi)感染的主要菌種,共計檢出128株,檢出率為78.05%,革蘭陽性菌共計檢出36株,檢出率為21.95%。基礎疾病如冠心病、高血壓、糖尿病、腫瘤等對呼吸內(nèi)科患者院內(nèi)感染的影響不大(P=0.935);有無氣管插管、有無氣管切開、是否使用激素、是否使用免疫抑制劑類藥物是呼吸內(nèi)科患者發(fā)生院內(nèi)感染的影響因素(P=0.003、0.033、0.002、0.027)。結(jié)論呼吸內(nèi)科患者發(fā)生院內(nèi)細菌感染的因素較多,在臨床實踐中應采取具有針對性的預防措施,從而減少院內(nèi)感染的發(fā)生率,提高患者的生活質(zhì)量。
[Abstract]:Objective to analyze the nosocomial bacterial infection in patients with respiratory medicine and its risk factors. Methods Eighty-one patients with nosocomial infection were selected from Department of Respiratory Medicine, and 100 non-nosocomial infection patients who were hospitalized in our hospital at the same time were randomly selected as control group. Statistical comparison of the two groups of patients with basic diseases, this hospital mainly for the treatment of diseases, treatment methods, whether there is invasive operation, whether to use hormones, whether to use immunosuppressive drugs and so on. Results the incidence of nosocomial infection in our hospital was 1.97 and the highest rate was lower respiratory tract infection (58 cases 71.61%) followed by upper respiratory tract infection (19.75%). A total of 164 strains of bacteria were identified. Gram-negative bacteria were the main strains of nosocomial infection, 128 strains were detected, the detectable rate was 78.05, and 36 strains of Gram-positive bacteria were detected, the detectable rate was 21.95%. Basic diseases such as coronary heart disease, hypertension, diabetes, tumor and so on have little effect on nosocomial infection in patients with respiratory medicine (P0. 935). Whether there was trachea intubation, tracheotomy, hormone use or immunosuppressive drugs were the influencing factors of nosocomial infection in patients with respiratory medicine (P0. 003P 0. 03 0. 002 0. 027). Conclusion there are many factors of nosocomial bacterial infection in patients with respiratory medicine. In order to reduce the incidence of nosocomial infection and improve the quality of life, some preventive measures should be taken in clinical practice.
【作者單位】： 陜西省寶雞市人民醫(yī)院呼吸內(nèi)一科;
【分類號】：R56

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