APACHEⅢ评分与老年冠状动脉移植术后IABP辅助治疗的医院感染  

Evaluation of APACHE Ⅲ score system and nosocomial infection in elder patients with intra-aortic balloon pump after coronary artery bypass grafting

作　　者：万久贺[1] 杨勇[1] 刘怡[1] 闫晓蕾[1] 陈菲[1] 李小密[1] 胡尚基[1] 贾士杰[1] 

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所监护室,北京100029

出　　处：《临床肺科杂志》2010年第7期942-943,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的分析冠状动脉移植术后主动脉内球囊反搏辅助的老年患者的医院感染情况与APACHEⅢ评分的相关性。方法回顾性收集、分析我院2006年4月至2009年2月冠状动脉移植术后IABP辅助治疗的老年(≥65岁)患者的医院感染资料,并进行APACHEⅢ评分系统评估。结果 111例患者,年龄69.9±3.8岁,男77例,女34例。医院感染29例,感染率26.1%。患者平均APACHEⅢ评分为60.8±14.0,高分组患者的医院感染率和住院死亡率均高于低分组。结论医院感染是老年冠状动脉移植术后IABP辅助患者的死亡危险因素之一,APACHEⅢ评分系统可作为预测医院感染发生的方法之一。Objective To analyze APACHE Ⅲ score system and nosocomial infection in elderly patients with intra-aortic balloon pump after coronary artery bypass grafting.Methods The clinical data of elder patients who underwent coronary artery bypass grafting with application of IABP from April 2006 to February 2009 were retrospectively collected and analyzed by APACHE Ⅲ scores system.Results The average age was 69.9±3.8 years;77 patients（69.4%）were male.Incidence of nosocomial infection was 26.1 % in all 111 cases.The mean APACHE Ⅲ scores were 60.8±14.0.The incidence of nosocomial infection and hospital mortality were much greater among patients with high APACHE Ⅲ scores than in patients with low APACHE Ⅲ scores.Conclusion The nosocomial infection is one of the risk factors for hospital mortality in elder patients with intra-aortic balloon pump after coronary artery bypass grafting.APACHE Ⅲ scores system can be one of the methods to predict the nosocomial infection in this population.

关 键 词：医院感染 冠状动脉移植术 主动脉内球囊反搏 APACHEⅢ评分 

分 类 号：R654.2[医药卫生—外科学]