中国心血管杂志
中國心血管雜誌
중국심혈관잡지
CHINESE JOURNAL OF CARDIOVASOLOGY
2014年
6期
438-440
,共3页
心力衰竭,充血性%医院感染%相关因素
心力衰竭,充血性%醫院感染%相關因素
심력쇠갈,충혈성%의원감염%상관인소
Heart failure,congestive%Nosocomial infections%Related factors
目的：探讨老年慢性心力衰竭患者发生医院感染的相关因素,为临床防治感染提供依据。方法回顾性分析2011年4月至2014年1月我院收治的378例老年慢性心力衰竭患者的临床资料,收集老年慢性心力衰竭患者医院感染的发生情况,并分析其相关因素。结果共56例老年慢性心力衰竭患者发生医院感染,感染率为14.8﹪；其中呼吸道感染28例,泌尿系统感染14例,消化系统感染7例,口腔感染5例,皮肤黏膜感染2例。医院感染与患者的年龄、病程、心功能分级、住院时间、侵入性操作、合并糖尿病和肺部疾病明显相关( x2=6.077、4.779、30.375、4.025、4.273、11.399和7.005,均为P﹤0.05)。年龄＞70岁、住院时间＞14 d、有侵入性操作和合并糖尿病是老年慢性心力衰竭患者发生医院感染的独立危险因素(OR=3.612、1.965、3.014和2.735,均为P﹤0.05)。结论老年慢性心力衰竭患者的医院感染发生率较高,与多个因素相关。临床上应针对医院感染相关危险因素,制定相应的防治措施,减少医院感染发生。
目的：探討老年慢性心力衰竭患者髮生醫院感染的相關因素,為臨床防治感染提供依據。方法迴顧性分析2011年4月至2014年1月我院收治的378例老年慢性心力衰竭患者的臨床資料,收集老年慢性心力衰竭患者醫院感染的髮生情況,併分析其相關因素。結果共56例老年慢性心力衰竭患者髮生醫院感染,感染率為14.8﹪；其中呼吸道感染28例,泌尿繫統感染14例,消化繫統感染7例,口腔感染5例,皮膚黏膜感染2例。醫院感染與患者的年齡、病程、心功能分級、住院時間、侵入性操作、閤併糖尿病和肺部疾病明顯相關( x2=6.077、4.779、30.375、4.025、4.273、11.399和7.005,均為P﹤0.05)。年齡＞70歲、住院時間＞14 d、有侵入性操作和閤併糖尿病是老年慢性心力衰竭患者髮生醫院感染的獨立危險因素(OR=3.612、1.965、3.014和2.735,均為P﹤0.05)。結論老年慢性心力衰竭患者的醫院感染髮生率較高,與多箇因素相關。臨床上應針對醫院感染相關危險因素,製定相應的防治措施,減少醫院感染髮生。
목적：탐토노년만성심력쇠갈환자발생의원감염적상관인소,위림상방치감염제공의거。방법회고성분석2011년4월지2014년1월아원수치적378례노년만성심력쇠갈환자적림상자료,수집노년만성심력쇠갈환자의원감염적발생정황,병분석기상관인소。결과공56례노년만성심력쇠갈환자발생의원감염,감염솔위14.8﹪；기중호흡도감염28례,비뇨계통감염14례,소화계통감염7례,구강감염5례,피부점막감염2례。의원감염여환자적년령、병정、심공능분급、주원시간、침입성조작、합병당뇨병화폐부질병명현상관( x2=6.077、4.779、30.375、4.025、4.273、11.399화7.005,균위P﹤0.05)。년령＞70세、주원시간＞14 d、유침입성조작화합병당뇨병시노년만성심력쇠갈환자발생의원감염적독립위험인소(OR=3.612、1.965、3.014화2.735,균위P﹤0.05)。결론노년만성심력쇠갈환자적의원감염발생솔교고,여다개인소상관。림상상응침대의원감염상관위험인소,제정상응적방치조시,감소의원감염발생。
Objective To explore the related factors of hospital infection in elderly patients with chronic heart failure, and to provide data for infection prevention. Methods The clinical data of elderly patients with chronic heart failure who were treated in our hospital from Apr. 2011 to Jan. 2014 were retrospectively reviewed. The related factors of hospital infection were analyzed. Results Fifty-six cases had hospital infection and the infection rate was 14. 8﹪. Of which 28 patients had respiratory tract infection, 14 urinary system infection, 7 digestive system infection, 5 oral infection and 2 cases with skin ﹠ mucous infection. The hospital infection was correlated with patient's age, disease duration, cardiac functional grading, length of hospital stay, invasive operation, complicated with diabetes mellitus and lung disease ( x2=6. 077, 4. 779, 30. 375, 4. 025, 4. 273, 11. 399 and 7. 005, all P﹤0. 05). Age more than 70 years old, length of hospital stay more than 14 days, invasive operation and complicated with diabetes mellitus were independent risk factors of hospital infection ( OR = 3. 612, 1. 965, 3. 014 and 2. 735, P ﹤ 0. 05 ) . Conclusions Hospital infection rate is high in elderly patients with chronic heart failure, which is associated with multiple factors.
