风险因素管理体系对老年糖尿病患者烧伤后创面感染的影响

发布时间：2018-04-20 03:29

本文选题：风险因素管理体系 + 糖尿病　；参考：《中国老年学杂志》2017年01期

【摘要】：目的探讨风险因素管理体系对老年糖尿病患者烧伤后创面感染影响。方法收集实施危险因素管理体系前后老年糖尿病烧伤患者的临床病理数据各50例,分别作为对照组和实验组,记录和比较两组患者的创面菌群种类及数量比较,感染持续时间和感染率及其抗生素使用情况(抗生素药物种类和抗生素应用持续时间)、患者的总住院时间、满意度评价等。结果对照组培养阳性患者共37例,总感染率74.0%;实验组培养阳性患者共21例,总感染率42.0%,两组差异显著(P=0.024)。对照组患者的相对感染持续时间〔(28.6±3.4)d〕与实验组〔(9.5±3.1)d〕比较显著较长(P0.01);总菌株数存在显著性差异(P0.01),但各种病原菌的比例均无统计学意义(P0.05)。对照组患者单一样本平均感染菌株数(72.6±5.4)与实验组患者(31.3±6.1)比较显著增高(P0.05)。实验组患者的抗生素药物种类〔(2.3±0.4)种〕与对照组〔(3.1±0.8)种〕比较显著减少(P=0.006);实验组患者的抗生素应用持续时间〔(17.6±1.4)d〕与对照组〔(29.3±2.1)d〕比较显著缩短(P=0.034)。通过实施感染危险因素控制管理体系后,对照组和实验组老年糖尿病烧伤患者的出院总满意度有显著性差异(91.6%vs 94.0%,P=0.036)。结论实施老年糖尿病烧伤患者感染风险因素管理控制体系,能有效降低患者烧伤创面菌株种类和数目,有效降低患者感染事件和感染率,从而减少抗生素使用种类和使用时间,大大提高了医疗质量。
[Abstract]:Objective to investigate the effect of risk factor management system on burn wound infection in elderly diabetic patients. Methods the clinicopathological data of 50 senile diabetic burn patients before and after the implementation of risk factor management system were collected and compared as control group and experimental group. Duration of infection, infection rate and the use of antibiotics (types of antibiotics and duration of antibiotic use, total hospital stay, satisfaction evaluation, etc.) Results there were 37 cases in the control group with a total infection rate of 74.0, and 21 cases in the experimental group with a total infection rate of 42.0. The difference between the two groups was significant. The relative infection duration of the control group was 28.6 卤3.4 d) and that of the experimental group was 9.5 卤3.1 d). There was a significant difference in the total number of strains (P0.01D), but there was no significant difference in the proportion of all kinds of pathogenic bacteria (P0.05D) between the control group and the experimental group. The average number of infected strains in control group (72.6 卤5.4) was significantly higher than that in experimental group (31.3 卤6.1). (2. 3 卤0. 4) in the experimental group and 3. 1 卤0. 8 in the control group (P < 0. 006). The duration of antibiotic administration in the experimental group was 17. 6 卤1. 4 days) and that in the control group was 29. 3 卤2. 1 days). After implementing the infection risk factor control management system, there was a significant difference between the control group and the experimental group in the total satisfaction with discharge of the senile diabetic burn patients. There was a significant difference in the total satisfaction between the control group and the experimental group (91.6 vs 94.0P 0.036). Conclusion the management and control system of infection risk factors in senile diabetic burn patients can effectively reduce the type and number of bacterial strains in burn wounds, reduce the infection events and infection rate, and reduce the types and duration of antibiotic use. The quality of medical treatment has been greatly improved.
【作者单位】：南通大学附属医院烧伤整形科;
【分类号】：R587.1;R644

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