老年冠心病患者醫(yī)院感染的相關(guān)因素分析
發(fā)布時(shí)間:2018-06-04 09:56
本文選題:冠心病 + 醫(yī)院感染 ; 參考:《中華醫(yī)院感染學(xué)雜志》2014年04期
【摘要】:目的探討高齡冠心病患者醫(yī)院感染的相關(guān)影響因素,為其臨床預(yù)防與治療提供指導(dǎo)意義。方法回顧性分析醫(yī)院心內(nèi)科2012年1月-2013年9月收治入院的625例老年冠心病患者臨床資料,對(duì)其醫(yī)院感染的相關(guān)危險(xiǎn)因素進(jìn)行分析。結(jié)果 625例老年冠心病患者中發(fā)生醫(yī)院感染96例,感染率為15.4%;單因素分析顯示,年齡≥80歲、有吸煙史、糖尿病、住院時(shí)間≥30d、心功能Ⅲ~Ⅳ級(jí)、有侵入性操作的患者感染率分別為20.3%、21.0%、23.4%、23.9%、25.1%、22.8%,與其他組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);多因素logistic回歸分析顯示,年齡大、有吸煙史、有糖尿病、住院時(shí)間長、心功能Ⅲ~Ⅳ級(jí)、侵入性操作是影響老年冠心病患者醫(yī)院感染的獨(dú)立因素(P0.05)。結(jié)論老年冠心病患者易發(fā)生醫(yī)院感染,其醫(yī)院感染的危險(xiǎn)因素較多、較復(fù)雜,臨床應(yīng)采取有效措施,以降低醫(yī)院感染率。
[Abstract]:Objective to investigate the related factors of nosocomial infection in elderly patients with coronary heart disease and to provide guidance for its clinical prevention and treatment. Methods the clinical data of 625 elderly patients with coronary heart disease admitted to hospital from January 2012 to September 2013 were retrospectively analyzed and the risk factors of nosocomial infection were analyzed. Results among 625 elderly patients with coronary heart disease, 96 cases had nosocomial infection and the infection rate was 15.4.The univariate analysis showed that the age 鈮,
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