CAJ | 학술논문

目的：探讨肺心病合并急性冠脉综合征患者发生肺部多药耐药菌感染的危险因素，降低感染率。方法选择2010年5月－2013年3月接受治疗的80例肺心病合并急性冠脉综合征患者，统计感染患者的临床资料，分析其感染因素，采用SPSS16．0进行统计分析。结果80例肺心病合并急性冠脉综合征患者中有59例发生感染，感染率为73．8％；患者的年龄、性别、住院天数长短及是否使用抗菌药物差异均有统计学意义（ P＜0．05）。结论肺心病合并急性冠脉综合征患者肺部多药耐药菌感染的主要危险因素为年龄、性别、住院天数以及抗菌药物的使用等，值得对上述危险因素进行进一步研究。
목적：탐토폐심병합병급성관맥종합정환자발생폐부다약내약균감염적위험인소，강저감염솔。방법선택2010년5월－2013년3월접수치료적80례폐심병합병급성관맥종합정환자，통계감염환자적림상자료，분석기감염인소，채용SPSS16．0진행통계분석。결과80례폐심병합병급성관맥종합정환자중유59례발생감염，감염솔위73．8％；환자적년령、성별、주원천수장단급시부사용항균약물차이균유통계학의의（ P＜0．05）。결론폐심병합병급성관맥종합정환자폐부다약내약균감염적주요위험인소위년령、성별、주원천수이급항균약물적사용등，치득대상술위험인소진행진일보연구。
OBJECTIVE To investigate the risk factors for multidrug‐resistant pulmonary infections in patients with pulmonary heart disease complicated by acute coronary syndrome so as to reduce infection rates .METHODS Total‐ly 80 patients with pulmonary heart disease complicated by acute coronary syndrome treated in May 2010 to Mar . 2013 were enrolled .The basic data of infected patients were summarized and the risk factors for infections were analyzed ,the software SPSS16 .0 was used for statistical analysis . RESULTS Totally 59 cases of infections occurred in the 80 patients ,the infection rate was 73 .8% .There were significant differences in age ,genders ,hos‐pital stays and use of antibacterials (P<0 .05) .CONCLUSION The major risk factors for multidrug‐resistant pul‐monary infections in patients with pulmonary heart disease complicated by acute coronary syndrome were age ,gen‐ders ,hospital stays and use of antibacterials .It is worthy to conduct further studies on these risk factors .