CAJ | 학술논문

目的分析调查慢性肝病医院内感染的原因并探讨预防措施.方法对慢性肝病合并医院内感染111例的临床资料进行回顾性调查并进行临床分析.结果慢性肝病院内感染率为19.8%,慢性重型肝炎居首位,其次是肝癌,失代偿期肝硬化居第三,慢性肝炎居第四,经统计学检验差异有统计学意义.提示肝功能损害越重,医院感染发生率越高.呼吸系统感染最常见,其次是腹腔感染,胃肠道第三.病原学革兰氏阴性杆菌和阳性球菌为主,真菌也占相当比例.合并医院感染的病死率高于非医院感染者.结论有效防治医院感染对于提高慢性肝病的疗效有极其重要的作用.
목적 분석조사만성간병의원내감염적원인병탐토예방조시.방법 대만성간병합병의원내감염111례적림상자료진행회고성조사병진행림상분석.결과 만성간병원내감염솔위19.8%,만성중형간염거수위,기차시간암,실대상기간경화거제삼,만성간염거제사,경통계학검험차이유통계학의의.제시간공능손해월중,의원감염발생솔월고.호흡계통감염최상견,기차시복강감염,위장도제삼.병원학혁란씨음성간균화양성구균위주,진균야점상당비례.합병의원감염적병사솔고우비의원감염자.결론 유효방치의원감염대우제고만성간병적료효유겁기중요적작용.
Objective To investigate the reasons of hospital infection in patients with chronic liver diseases and probe into the preventive measures. Methods Clinical data of 111 hospital infection patients with chron-ic liver diseases were analyzed by retrospective analysis. Results The rate of hospital infection with chronic liver diseases was 19.8%. The first was chronic severe hepatitis;second was hepatocarcinoma;the next was de-compensated cirrhosis and chronic hepatitis was last. All of the above results were significant in statistics. It suggested that the higher hospital infection rate associated with degree of liver function damage. Respiratory tract infection was the highest and abdominal infection was the secondary; the third was gastrointestinal tract.The dominant pathogens were Gram - negative bacterium and Gram - positive cocci. Moreover, fungi had a considerable proportion. The mortality rate combined with hospital infection was higher than the non -infec-tions. Conclusion The prevention and treatment of hospital infection have important meanings for the im-provement of prognosis and increasing therapeutic effect on chronic liver diseases.