急性心力衰竭患者医院感染对预后的影响分析  

Impact of nosocomial infections on prognosis of patients with acute heart failure

作　　者：梁海青[1] 郭牧[1] 张云强[1] 贾志[1] 田树光 宋昱[1] 

机构地区：[1]泰达国际心血管病医院CCU,天津300457

出　　处：《中华医院感染学杂志》2013年第14期3352-3353,3356,共3页Chinese Journal of Nosocomiology

基　　金：天津市卫生局科研基金项目(2011KZ18);天津医科大学科研基金项目(2009XK33)

摘　　要：目的探究分析医院感染对于急性心力衰患者预后的影响,以提高急性心力衰竭患者救治效果和护理质量。方法回顾性分析医院2011年5月-2012年2月收治的150例急性心力衰竭患者,根据入院48h后是否感染分为感染组78例、非感染组72例,随访12个月,统计两组患者术后情况及并发症,并比较1年生存率和复发率。结果非感染组患者住院时间为(9.8±3.9)d、术后KPS评分(76.8±9.7)分,均高于感染组的(13.8±6.3)d、(68.4±11.5)分,组间差异有统计学意义(P<0.05);治疗总有效率非感染组为91.7%、感染组为78.2%,组间差异有统计学意义(P<0.05);6、12个月生存率非感染组分别为94.3%、91.4%;感染组分别为83.6%、75.3%,复发率非感染组为11.4%、感染组为23.3%,组间差异有统计学意义(P<0.05)。结论急性心力衰竭合并医院感染患者将明显降低患者预后水平,应加强防护,提高治疗有效率。OBJECTIVE To explore the impact of nosocomial infections on the prognosis of the patients with acute heart failure so as to improve the treatment effect and the nursing quality.METHODS A retrospective analysis was performed for 150 cases of acute heart failure patients admitted to the hospital from May 2011 to Feb 2012,the patients were divided into the infection group with 78 cases and the non-infection group with 72cases according to the status of nosocomial infections within 48 hours,then a 12-month follow-up was conducted,the incidence of postoperative complications was statistically analyzed,and the survival rate and the recurrence rate in the whole year were compared between the two groups.RESULTS The hospitalization duration of the non-infection group was（9.8±3.9）d,higher than（13.8±6.3）d of the infection group;the postoperative KPS score of the non-infection group was 76.8±9.7,higher than 68.4±11.5of the infection group,the difference between the tow group was statistically significant（P0.05）.The total effective rate of treatment of the non-infection group was 91.7%,higher than 78.2% of the infection group,the difference was statistically significant.The survival rate within six months of the non-infection group was 94.3%,higher than 83.6% of the infection group;the survival rate within twelve months of the non-infection group was 91.4%,higher than 75.3% of the infection group;the recurrence rate of the non-infection group was 11.4%,lower than 23.3% of the infection group,the difference between the two groups was statistically significant（P0.05）.CONCLUSION The acute heart failure patients complicated with nosocomial infections may significantly reduce the level of the prognosis,thus it is necessary to strengthen the prevention and improve the effective rate of treatment.

关 键 词：急性心力衰竭 医院感染 预后 

分 类 号：R181.32[医药卫生—流行病学]