老年冠心病患者医院感染的相关因素分析  

Related factors of nosocomial infection in elderly patients with coronary heart disease

作　　者：张光明[1] 刘文萱[2] 刘德敏[1] 谷国强[1] 谢瑞芹[1] 崔炜[1] 

机构地区：[1]河北医科大学第二医院心内一科,河北石家庄050000 [2]河北医科大学公共卫生学院流行病与卫生统计学教研室,河北石家庄050000

出　　处：《中华医院感染学杂志》2014年第4期880-881,884,共3页Chinese Journal of Nosocomiology

基　　金：河北省自然科学基金资助项目(2009001059)

摘　　要：目的探讨高龄冠心病患者医院感染的相关影响因素，为其临床预防与治疗提供指导意义。方法回顾性分析医院心内科2012年1月一2013年9月收治入院的625例老年冠心病患者临床资料，对其医院感染的相关危险因素进行分析。结果625例老年冠心病患者中发生医院感染96例，感染率为15．4％；单因素分析显示，年龄≥80岁、有吸烟史、糖尿病、住院时间≥30d、心功能Ⅲ～Ⅳ级、有侵人性操作的患者感染率分别为20．3％、21．0％、23．4％、23．9Yoo、25．1％、22．8％，与其他组比较差异有统计学意义（P〈O．05）；多因素logistic回归分析显示，年龄大、有吸烟史、有糖尿病、住院时间长、心功能Ⅲ～Ⅳ级、侵人性操作是影响老年冠心病患者医院感染的独立因素（P〈O．05）。结论老年冠心病患者易发生医院感染，其医院感染的危险因素较多、较复杂，临床应采取有效措施，以降低医院感染率。OBJECTIVE To investigate the related factors of nosocomial infection in elderly patients with coronary heart disease, to provide the reference for clinical prevention and treatmente. METHODS A retrospective analysis of the clinical data from 625 patients with coronary heart disease hospitalized admitting our hospital Cardiology from Jan. 2012 to Sep. 2013 was taken, and the risk factors associated with nosocomial infection were analyzed. RESULTS In all 625 patients with coronary heart disease, 96 ones got nosocomial infection, accounting for 15.40//oo. Univariate analysis showed that the infection rates in patients with the age （. 80 years）, smoking history, diabetes, long hospital stay （ 30 days）, cardiac function grade [1I IV, invasive procedures were 20.3, 21.0, 23.4, 23.9, 25.1% and 22.8, reapectively, which compared to other factors showing the statistically significant difference （P0.05）. Multivariate logistic regression analysis showed that age （ 80 years ）, smoking history, diabetes , long hospital stay （ 30 days）, cardiac function grade 111 IV , invasive procedures were the independent factors affecting the nosocomial infection in patients with coronary heart disease （P0.05）. CONCLUSION Elderly patients with coronary heart are susceptible to nosocomial infection, and the risk factors of nosocomial infections are multiple and more complex, and the effective measures should be taken to reduce the infection rate.

关 键 词：冠心病 医院感染 危险因素 老年患者 

分 类 号：R181.32[医药卫生—流行病学]