老年急性上消化道出血并发感染易感因素分析  

Analysis of risk factor in the elderly patients with upper gastrointestinal bleeding

作　　者：吴立明[1] 

机构地区：[1]武汉市中西医结合医院,湖北武汉430022

出　　处：《中国医药导报》2010年第31期31-32,共2页China Medical Herald

摘　　要：目的:探讨老年患者急性上消化道出血并发感染的易感因素及防治措施。方法:对我院2005年5月～2010年4月收治的老年急性上消化道出血患者进行回顾性分析。结果:62例老年急性上消化道出血患者中发生感染12例,感染率为19.35%;呼吸道感染最为突出(66.67%);重度出血患者医院感染发生率高(77.78%);并发症多者感染发生率明显高于并发症少者(P<0.01);发生感染者平均住院天数明显高于无感染者(P<0.01)。结论:出血量大、病情重、合并症多、医源性因素等是造成老年人急性上消化道出血患者并发医院感染的主要危险因素。Objective： To investigate the relationship and the prevention of infection between infection and upper gastroin-testinal bleeding in the elderly patients.Methods： The hospitalized elderly patients with upper gastrointestinal hemorrhage from May 2005 to April 2010 in our hospital were analyzed retrospectively.Results： Of 62 elderly patients with upper gas-trointestinal hemorrhage,12 cases suffered from infection and the infection rate was 19.35%,the respiratory infections were most prominent（66.67%）;the patients with the specific weight bleeds,nosocomial infection incidence rate to be high（77.78%）;the complication many infection formation rate was higher than complication few obviously（P〈0.01）;on the average hospi-tal days,the infected patients were longer than that of the patients without the infection（P〈0.01）.Conclusion： The major risk factors of infection in the elderly patients with upper gastrointestinal bleeding include basal diseases,the volume of bleeding,serious degree of pathogenetic condition and medical source factor etc.

关 键 词：老年人 急性上消化道出血 感染 易感因素 

分 类 号：R573.2[医药卫生—消化系统]