【摘要】：目的分析甲狀腺乳頭狀癌患者術(shù)后出現(xiàn)醫(yī)院感染的危險因素,旨在為醫(yī)院感染的控制提供有效參考。方法收集2015年1月-2016年8月醫(yī)院行手術(shù)方案治療的甲狀腺乳頭狀癌患者100例,通過該院自制的調(diào)查問卷詳細(xì)統(tǒng)計(jì)患者的基本資料,主要包括年齡、性別、血糖水平、有無應(yīng)用抗菌藥物、引流管留置及引流時間等,并通過單因素分析、多因素logistic回歸分析等方法分析該疾病患者術(shù)后出現(xiàn)醫(yī)院感染的相關(guān)危險因素。結(jié)果 100例患者中12例患者發(fā)生醫(yī)院感染,感染率為12.0%;年齡≥60歲患者的感染率(16.67%)顯著高于60歲患者(6.52%);血糖水平≥6.2mmol/L患者感染率(23.81%)顯著高于6.1mmol/L歲患者(3.45%);留置引流管患者感染率(20.59)顯著高于未留置患者(7.58%);引流時間3天患者感染率(21.05%)顯著高于≤3天患者(6.45%),差異有統(tǒng)計(jì)學(xué)意義(P0.05);可見患者術(shù)后發(fā)生醫(yī)院感染與其年齡較大、血糖水平較高、引流管留置及引流時間較長等因素相關(guān);多因素logistic回歸分析表明,年齡≥60歲(OR值:0.51,P0.05)、血糖水平≥6.2mmol/L(OR值:0.25,P0.05)、術(shù)后留置引流管(OR值:0.59,P0.05)及引流時間3天(OR值:1.40,P0.05)為患者術(shù)后發(fā)生醫(yī)院感染的獨(dú)立危險因素。結(jié)論甲狀腺乳頭狀癌患者術(shù)后發(fā)生醫(yī)院感染的危險因素較多,臨床應(yīng)采取針對性的干預(yù)措施,以有效減少醫(yī)院感染。
[Abstract]:Objective to analyze the risk factors of nosocomial infection in patients with papillary thyroid carcinoma after operation, in order to provide effective reference for the control of nosocomial infection. Methods from January 2015 to August 2016, 100 patients with papillary thyroid carcinoma treated by surgical program were collected. The basic data of the patients were analyzed by self-made questionnaire, including age, sex and blood sugar level. The risk factors of nosocomial infection were analyzed by single factor analysis and multivariate logistic regression analysis. Results Nosocomial infection occurred in 12 of 100 patients. The infection rate of patients aged 鈮，

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