甲状腺乳头状癌患者术后发生医院感染的危险因素分析

发布时间：2018-10-15 15:44

【摘要】：目的分析甲状腺乳头状癌患者术后出现医院感染的危险因素,旨在为医院感染的控制提供有效参考。方法收集2015年1月-2016年8月医院行手术方案治疗的甲状腺乳头状癌患者100例,通过该院自制的调查问卷详细统计患者的基本资料,主要包括年龄、性别、血糖水平、有无应用抗菌药物、引流管留置及引流时间等,并通过单因素分析、多因素logistic回归分析等方法分析该疾病患者术后出现医院感染的相关危险因素。结果 100例患者中12例患者发生医院感染,感染率为12.0%;年龄≥60岁患者的感染率(16.67%)显著高于60岁患者(6.52%);血糖水平≥6.2mmol/L患者感染率(23.81%)显著高于6.1mmol/L岁患者(3.45%);留置引流管患者感染率(20.59)显著高于未留置患者(7.58%);引流时间3天患者感染率(21.05%)显著高于≤3天患者(6.45%),差异有统计学意义(P0.05);可见患者术后发生医院感染与其年龄较大、血糖水平较高、引流管留置及引流时间较长等因素相关;多因素logistic回归分析表明,年龄≥60岁(OR值:0.51,P0.05)、血糖水平≥6.2mmol/L(OR值:0.25,P0.05)、术后留置引流管(OR值:0.59,P0.05)及引流时间3天(OR值:1.40,P0.05)为患者术后发生医院感染的独立危险因素。结论甲状腺乳头状癌患者术后发生医院感染的危险因素较多,临床应采取针对性的干预措施,以有效减少医院感染。
[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，

本文编号：2273010