肝癌介入化疗患者医院感染风险因素分析与防控对策研究

发布时间：2018-06-04 22:22

本文选题：肝癌介入 + 化疗　；参考：《中华医院感染学杂志》2017年14期

【摘要】：目的回顾性分析肝癌介入化疗患者医院感染风险因素并研究防控对策。方法选取2013年1月-2016年1月942例肝癌介入化疗患者,回顾性调查一般资料、介入手术情况、医院感染、抗菌药物使用时间、住院时间等,引入多因素Logistic回归模型分析肝癌介入化疗者医院感染风险因素,总结防控对策。结果 942例患者,发生医院感染50例,感染率为5.30%;多因素Logistic回归模型分析,年龄60岁、糖尿病、白细胞计数2.5×109/L、白蛋白水平≤30g/L、皮肤或黏膜溃损、侵入性操作、介入手术时间180min、抗菌药物使用时间≥7天、术中出血量≥500ml、伤口疼痛明显和住院时间≥21天是肝癌介入化疗者医院感染的独立风险因素,差异有统计学意义(P0.05)。结论不断加强肝癌介入化疗者医院感染风险因素回顾性调查,明确风险,早期改进防控对策能最大程度控制医院感染,提升医院感染管理质量。
[Abstract]:Objective to analyze the risk factors of hospital infection in patients with liver cancer Interventional Chemotherapy and to study the prevention and control measures. Methods 942 cases of interventional chemotherapy for liver cancer were selected in January 2013 -2016 years in January. The general data, the operation situation, the hospital infection, the time of the use of antibiotics and the residence time were reviewed, and the multiple factor Logistic regression model was introduced. The risk factors of nosocomial infection in the interventional chemotherapy of liver cancer were summarized. Results 50 cases of nosocomial infection occurred in 942 cases, the infection rate was 5.30%, the multiple factor Logistic regression model analysis, age 60 years old, diabetes, white blood cell count 2.5 x 109/L, albumin level less than 30g/L, skin skin or mucosa ulceration, invasive operation, interventional operation time 180min, The time of use of antibiotics is more than 7 days, the amount of bleeding in the operation is more than 500ml, the pain of the wound is obvious and the time of hospitalization is more than 21 days. It is the independent risk factor of the hospital infection of the interventional chemotherapy for the liver cancer. The difference is statistically significant (P0.05). Conclusion the retrospective investigation of the risk factors of the hospital infection in the interventional chemotherapy for liver cancer is continued, and the risk is clearly defined and the prevention and control of the prevention and control are improved. The strategy can control nosocomial infection and improve the quality of nosocomial infection management.
【作者单位】：河南省南阳市中心医院心脏大血管外科;河南省南阳市中心医院感染科;河南省南阳市中心医院普外科;
【分类号】：R735.7

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