糖尿病新世界
糖尿病新世界
당뇨병신세계
Diabetes New World
2015年
21期
23-25
,共3页
普外科糖尿病%感染因素%预防对策
普外科糖尿病%感染因素%預防對策
보외과당뇨병%감염인소%예방대책
Diabetes mellitus in department of general surgery%Infection factor%Preventive measures
目的 研究普外科糖尿病患者感染的危险因素,同时对这些危险因素的预防对策进行分析. 方法 从1000名普外科患者中,选取90名普外科糖尿病患者,将这90名患者依照感染与否,分为两组,运用单因素以及多因素回归分析方法展开研究. 结果 1000名患者有67名患者感染,感染率为6.7%,其中90名普外科糖尿病患者中,有17名患者感染,感染率达到18.9%,而910名普外科患者中有50名患者感染,感染率为5.9%,差异有统计学意义(P<0.05);普外科糖尿病患者与普外科患者相比,比较两者的感染部位,差异无统计学意义(P>0.05);单因素分析,患者年龄达到或者超过60周岁、患有糖尿病已经达到或者超过了5年、长时间卧床、空腹血糖、长时间的应用抗生素因素、侵入式操作与普外科糖尿病患者感染有一定的关系;多因素分析表明,患者年龄者达到或超过60周岁、患者患有糖尿病的时间达到或超过5年、长时间的住院与卧床是普外科糖尿病患者出现感染的危险因素,差异有统计学意义(P<0.05).结论 患者年龄者达到或超过60周岁、患者患有糖尿病的时间达到或超过5年、长时间的住院与卧床会引起普外科糖尿病患者感染,临床实践中,定要加以预防.
目的 研究普外科糖尿病患者感染的危險因素,同時對這些危險因素的預防對策進行分析. 方法 從1000名普外科患者中,選取90名普外科糖尿病患者,將這90名患者依照感染與否,分為兩組,運用單因素以及多因素迴歸分析方法展開研究. 結果 1000名患者有67名患者感染,感染率為6.7%,其中90名普外科糖尿病患者中,有17名患者感染,感染率達到18.9%,而910名普外科患者中有50名患者感染,感染率為5.9%,差異有統計學意義(P<0.05);普外科糖尿病患者與普外科患者相比,比較兩者的感染部位,差異無統計學意義(P>0.05);單因素分析,患者年齡達到或者超過60週歲、患有糖尿病已經達到或者超過瞭5年、長時間臥床、空腹血糖、長時間的應用抗生素因素、侵入式操作與普外科糖尿病患者感染有一定的關繫;多因素分析錶明,患者年齡者達到或超過60週歲、患者患有糖尿病的時間達到或超過5年、長時間的住院與臥床是普外科糖尿病患者齣現感染的危險因素,差異有統計學意義(P<0.05).結論 患者年齡者達到或超過60週歲、患者患有糖尿病的時間達到或超過5年、長時間的住院與臥床會引起普外科糖尿病患者感染,臨床實踐中,定要加以預防.
목적 연구보외과당뇨병환자감염적위험인소,동시대저사위험인소적예방대책진행분석. 방법 종1000명보외과환자중,선취90명보외과당뇨병환자,장저90명환자의조감염여부,분위량조,운용단인소이급다인소회귀분석방법전개연구. 결과 1000명환자유67명환자감염,감염솔위6.7%,기중90명보외과당뇨병환자중,유17명환자감염,감염솔체도18.9%,이910명보외과환자중유50명환자감염,감염솔위5.9%,차이유통계학의의(P<0.05);보외과당뇨병환자여보외과환자상비,비교량자적감염부위,차이무통계학의의(P>0.05);단인소분석,환자년령체도혹자초과60주세、환유당뇨병이경체도혹자초과료5년、장시간와상、공복혈당、장시간적응용항생소인소、침입식조작여보외과당뇨병환자감염유일정적관계;다인소분석표명,환자년령자체도혹초과60주세、환자환유당뇨병적시간체도혹초과5년、장시간적주원여와상시보외과당뇨병환자출현감염적위험인소,차이유통계학의의(P<0.05).결론 환자년령자체도혹초과60주세、환자환유당뇨병적시간체도혹초과5년、장시간적주원여와상회인기보외과당뇨병환자감염,림상실천중,정요가이예방.
Objective To study the risk factors of infection in diabetic patients in department of general surgery and analyze the corresponding preventive measures of these risk factors. Methods Of the 1000 patients in department of general surgery, 90 patients with diabetes mellitus were selected. And the 90 patients were divided into two groups in accordance with whether they had infections. Univariate and multivariate logistic regression analysis methods were used for the study. Results Of the 1000 patients, 67 patients had infection, the infection rate was 6.7%, of the 90 diabetic patients in department of general surgery, 17 patients had infection, the infection rate was 18.9%, of the 910 patients in department of general surgery, 50 patients had infection, the infection rate was 5.9%, the difference was statistically significant (P<0.05). The dif-ference in the site of infection between the patients with diabetes and those without diabetes in department of general surgery was not statistically significant(P>0.05). The result of univariate logistic regression analysis showed that 60 years old or more, the duration of diabetes reaching 5 years or more, long time sickbed, fasting blood glucose level, long time use of antibiotics, and invasive operation were related to the incidence of infection in diabetic patients in department of general surgery. The result of multivariate logistic regression analysis showed that 60 years old or more, the duration of diabetes reaching 5 years or more, long time hospitalization and sickbed were the risk factors of infection in diabetic patients in de-partment of general surgery, the difference was statistically significant(P<0.05). Conclusion 60 years old or more, the dura-tion of diabetes reaching 5 years or more, long time hospitalization and sickbed can cause the infection in diabetic patients in department of general surgery, which should be prevented in the clinical practice.
