CAJ | 학술논문

目的探讨慢性阻塞性肺疾病加重期(AECOPD)发生院内感染的相关因素.方法回顾性的分析了2009年1月-2013年10月AECOPD院内继发感染的患者92例,并随机抽取相同时期无感染的AECOPD患者84例作为对照组,对其发生继发感染的细菌和病毒作出相应的鉴别诊断.结果 AECOPD调查组的患者中有42例(45.65％)是由鼻病毒、呼吸道合胞病毒、流感病毒感染所致,有61例(66.30％)是由流感嗜血杆菌、卡他莫拉菌、肺炎链球菌、铜绿单胞、金黄色葡萄球菌、副流感嗜血杆菌等感染所致,其检测结果和对照组相比差异显著,具有统计学意义(P＜0.05).结论 AECOPD发生院内感染的主要因素有细菌学和病毒学因素,明确这些继发感染的相关因素对于患者后期的治疗能提供有力的理论依据.
목적 탐토만성조새성폐질병가중기(AECOPD)발생원내감염적상관인소.방법 회고성적분석료2009년1월-2013년10월AECOPD원내계발감염적환자92례,병수궤추취상동시기무감염적AECOPD환자84례작위대조조,대기발생계발감염적세균화병독작출상응적감별진단.결과 AECOPD조사조적환자중유42례(45.65％)시유비병독、호흡도합포병독、류감병독감염소치,유61례(66.30％)시유류감기혈간균、잡타막랍균、폐염련구균、동록단포、금황색포도구균、부류감기혈간균등감염소치,기검측결과화대조조상비차이현저,구유통계학의의(P＜0.05).결론 AECOPD발생원내감염적주요인소유세균학화병독학인소,명학저사계발감염적상관인소대우환자후기적치료능제공유력적이론의거.
Objective To investigate the exacerbation of chronic obstructive pulmonary disease (AECOPD) risk factors for nosocomial infection.Methods A retrospective analysis of 92 cases from 2009 January to 2013 October secondary infection among patients with AECOPD in hospital,and randomly selected the same period without infection in patients with AECOPD and 84 cases as control group.The incidence of secondary infections of bacteria and viruses to make differential diagnosis corresponding.Results 42 patients (45.65％) of AECOPD study group were caused by rhinovirus,respiratory syncytial virus or influenza virus infection,61 patients (66.30％) were caused by haemophilus influenzae,streptococcus pneumoniae,catarrh Mora bacteria,pseudomonas cell,staphylococcus aureus or haemophilus parainfluenzae infection.There was statistical significance of study group results compared with the control group (P ＜ 0.05).Conclusions The main factors of nosocomial infection with bacteriology and virology for AECOPD,and which provided a strong theoretical basis for the treatment of patients with late stage.