糖尿病患者医院感染危险因素分析  

Risk factors for nosocomial infection in patients with diabetes

作　　者：孙颖[1] 赵群峰[1] 陈倩倩[2] 鲍文卿 

机构地区：[1]台州市第二人民医院神经内科,浙江台州317200 [2]台州市第二人民医院心身科,浙江台州317200 [3]台州市第二人民医院院感科,浙江台州317200

出　　处：《中华医院感染学杂志》2014年第4期917-918,952,共3页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生科技计划基金项目(2011ZHA011)

摘　　要：目的探讨糖尿病患者的医院感染危险因素,旨在科学制定预防措施提高其治愈率。方法对2011年1月-2012年12月收治的120例糖尿病患者的临床资料进行回顾性分析,按照有无并发医院感染分为感染组及非感染组,比较两组患者年龄、病程、住院天数、糖化血红蛋白浓度、抗菌药物使用种类等之间的差异。结果感染组年龄>60岁、病程≥10年、住院≥30d、糖化血红蛋白≥10 mmol/L的患者分别占80.00%、70.00%、54.00%、74.00%,均高于未感染组患者的21.43%、28.57%、28.57%、38.57%,其均是糖尿病患者医院感染的危险因素,差异有统计学意义(P<0.05);50例糖尿病患者感染部位以呼吸道感染最多24例,占48.00%,其次为胃肠道感染13例,占26.00%。结论糖尿病患者医院感染的危险因素较多,采取科学的有效预防治疗措施、缩短住院天数,可降低感染率,提高患者的生存质量。OBJECTIVE To investigate the risk factors for nosocomial infection in patients with diabetes to scientifically standardized preventive measures improving its cure rate. METHODS The clinical data from 120 patients with diabetes admitted to from Jan. 2011 to Dec. 2012 were retrospectively analyzed. The patients were divided into two groups, labeled as infected group and non-infection group. The two groups were compared in age, length of stay, invasive operation, the types o{ antibiotics used and the blood sugar. RESULTS Patients with older than 60 years, duration more than 10 years, length of stay more than 30 days or more, glycosylated hemoglobin concentration more than 10mmol/L accounted for 80.00~, 70.00~, 54.00~ and 74.00~ in infected group, which were all higher than that in non-infection group 21.43 ~, 28.57 ~, 28.57 ~ and 38.57 ~, respeetiong. All the factors were the risk factors of nosocomial infection in patients with diabetes, and the difference were statistically significant （P ~ 0. 05）. Among the 50 cases of diabetes, the most common infection site was respiratory tract 24 cases, accounting for 48.00~, followed by infection of gastrointestinal 13 cases, accounting for 26.00~. CONCLUSION Diabetes risk factors for nosocomial infection are multiple takeing effective scieetifit control measures can shorten the length of hospital stay, lower infection rates and improve patient quality of life.

关 键 词：糖尿病 医院感染 危险因素 预防治疗措施 

分 类 号：R587.1[医药卫生—内分泌]