老年冠心病患者医院感染的相关因素分析
发布时间:2018-06-04 09:56
本文选题:冠心病 + 医院感染 ; 参考:《中华医院感染学杂志》2014年04期
【摘要】:目的探讨高龄冠心病患者医院感染的相关影响因素,为其临床预防与治疗提供指导意义。方法回顾性分析医院心内科2012年1月-2013年9月收治入院的625例老年冠心病患者临床资料,对其医院感染的相关危险因素进行分析。结果 625例老年冠心病患者中发生医院感染96例,感染率为15.4%;单因素分析显示,年龄≥80岁、有吸烟史、糖尿病、住院时间≥30d、心功能Ⅲ~Ⅳ级、有侵入性操作的患者感染率分别为20.3%、21.0%、23.4%、23.9%、25.1%、22.8%,与其他组比较差异有统计学意义(P0.05);多因素logistic回归分析显示,年龄大、有吸烟史、有糖尿病、住院时间长、心功能Ⅲ~Ⅳ级、侵入性操作是影响老年冠心病患者医院感染的独立因素(P0.05)。结论老年冠心病患者易发生医院感染,其医院感染的危险因素较多、较复杂,临床应采取有效措施,以降低医院感染率。
[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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