重症肌无力患者医院感染相关因素分析  

Analysis the relative factors of nosocomial infection in my asthenia gravis patients

作　　者：左新阳[1] 陈勤[1] 李晓丽[1] 李新立[1] 刘群才[1] 

机构地区：[1]中国人民解放军第159医院神经内科,463008

出　　处：《护理实践与研究》2008年第7期5-6,共2页Nursing Practice and Research

摘　　要：目的:探讨重症肌无力患者医院感染的发生机制。方法:对1457例重症肌无力患者医院感染的发生率、发生时间及病死率等进行回顾性分析。结果:本组医院感染发生率为8.85%,男女间医院感染率无显著性差异(P>0.05);以≥55岁患者医院感染发生率为最高(P<0.05);发生感染高峰时间为入院30d内(P<0.01);以呼吸道感染发生率为高(P<0.01);感染菌种以革兰氏阴性菌为主(P<0.01);Ⅲ型、Ⅳ型与Ⅰ型、Ⅱ型重症肌无力患者医院感染率比较有显著性差异(P<0.05);有侵袭性操作者较未行侵袭性操作者医院感染发生率明显升高(P<0.01)。结论:重症肌无力患者在年龄、入院时间、部位、病情严重程度、侵袭性操作等方面与医院感染发生率密切相关。Objective：Probe into the occur mechanism of nosocomial infection in myastheniagravis patients.Methods：The occur rate,occur time and death rate of nosocomial infection in myatheniagravis patients were analysed.Results：The occur rate of nosocomial infection was 8.85 percent,there was no remarkable difference between man and woman（P〉0.05）;the occur rate high age was 〉55（P〈0.05）;the high time of occur was inhospitcl in 30 days;the high occur rate was airway infection（P〈0.01）and the qram-negative bacterium was the main infection bacterium（P〈0.01）;there was remarkable difference between type Ⅲ,type IV and type Ⅰ,type Ⅱ（P〈0.05）;the occur rate of nosocomial infection of invasive operation was higher than non-invasive（P〈0.01）.Conclusion：The main factors of nosocomial infection were patients＇age,inhospital time,region,severity level of patient＇s condition,invasive operation and so on.

关 键 词：重症肌无力 医院感染 病原菌 

分 类 号：R473.74[医药卫生—护理学]