胸外科患者术后医院感染易感因素的临床分析  

Clinical analysis of related factors for postoperative nosocomial infections in thoracic surgery department patients

作　　者：刘伟华 吴玉敬 杨兆军 

机构地区：[1]聊城市茌平县第二人民医院外科,山东聊城252111

出　　处：《中华医院感染学杂志》2013年第22期5444-5445,5453,共3页Chinese Journal of Nosocomiology

基　　金：山东省自然科学杰出青年基金(2013JQB14007)

摘　　要：目的探讨和分析胸外科术后患者医院感染的相关因素,为预防和控制医院感染提供科学依据。方法对390例胸外科手术患者的性别、年龄、手术时间、住院天数、吸烟史与吸烟量、是否合并慢性呼吸系统疾病、是否合并糖尿病等相关因素与医院感染的关系进行比较,并分析感染部位及病原菌类型。结果患者的年龄、手术时间、住院天数、长期大量吸烟史、合并慢性呼吸系统疾病、合并糖尿病等都与医院感染密切相关,差异有统计学意义(P<0.05);感染部位中以呼吸道感染为主,病原菌主要为革兰阴性菌,占76.4%。结论胸外科手术患者发生医院感染与患者的年龄、手术时间、住院天数、长期大量吸烟史、合并慢性呼吸系统疾病、合并糖尿病等因素有关,采取相应的干预措施可降低医院感染率。OBJECTIVE To explore and analyze the related factors for postoperative nosocomial infections in the patients of thoracic surgery department so as to provide scientific basis for the prevention and control of the nosocomial infections. METHODS A total of 390 cases of thoracic surgery department patients were enrolled in the study, then the correlation between the related factors including the gender, age, operation duration, length of hospitalization, smoking history, complication of chronic respiratory diseases, and complication of diabetes and the incidence of nosocomial infections was observed, and the infection sites and species of pathogens were analyzed. RESULTS The age, operation duration, length of hospitalization, long-term and heavy smoking history, complication of chronic respiratory diseases, and complication of diabetes were closely related to the nosocomial infections, the differences were statistically significant （P〈0.05）. The respiratory tract was the predominant infection site; the gram-negative bacteria were dominant among the pathogens causing the nosocomial infections, accounting for 76.4%. CONCLUSION The incidence of nosoeomial infections in the patients of thoracic surgery department is related to the age, operation duration, length of hospitalization, long-term and heavy smoking history, complication of chronic respiratory diseases, and complication of diabetes; the corresponding intervention measures should be taken to reduce the incidence of nosocomial infections.

关 键 词：胸外科手术 医院感染 易感因素分析 

分 类 号：R181.32[医药卫生—流行病学]