急性白血病患者并发肛周感染的相关因素分析  

Related Factors of Complicated Crissum Infection of Patients with Acute LeukemIa

作　　者：宋斌[1] 陈雁[1] 樊广艳[1] 

机构地区：[1]湖北医药学院附属太和医院血液内科,湖北十堰442000

出　　处：《华南国防医学杂志》2014年第2期120-122,共3页Military Medical Journal of South China

摘　　要：目的探讨急性白血病患者并发肛周感染的相关因素。方法选取180例入住作者医院的急性白血病患者,分析性别、年龄、化疗效果、粒细胞绝对值和白血病类型对肛周感染发生的影响。结果 180例急性白血病患者中,肛周感染发生率为13.9%(25例)。108例男性患者中肛周感染发生率为18.5%(20例);年龄大于50岁的患者有34例,5例(14.7%)发生感染;63例化疗后未得到缓解,10例发生感染(15.9%)。109例患者的粒细胞值小于0.5×109/L,其中20例(18.3%)发生肛周感染;急性髓细胞白血病的患者97例,18例(18.5%)发生感染。急性白血病并发肛周感染在性别、年龄、化疗效果、粒细胞绝对值和白血病类型等因素的OR值分别为3.126、0.872、0.732、0.595和0.832,具有统计学意义(P<0.05)。结论急性白血病患者并发肛周感染与多种因素相关,应重点预防,做好对应的护理措施。Objective To explore the related factors analysis of complicated crissum infection of patients with acute leukemia. Methods A total of 180 patients with acute leukemia in our hospital were studied. Effect of gender, age, chemo- therapy, absolute granulocyte value and leukemia types on crissum infection was analysed. Results The incidence of cris- sum infection was 13. 9% （25 cases）. In 108 male patients, the incidence of crissum infection was 18. 5%（20 cases）. In 34 patients older than 50 years old, the incidence was 14. 7% （5 cases）. In 63 cases without release after chemotherapy, the incidence was 15.9% （10 cases）. In 109 patients with granulocyte less than 0. 5 × 10^9/L,the incidence was 18. 3% （20 ca- ses）. In 97 patients with acute myelogenous leukemia, the incidence was 18. 5% （18 cases）. The OR values were 3. 126, 0. 872,0. 732,3. 126 and 0. 832 for acute leukemia complicated crissum infection in gender,age, the effects of chemothera- py,absolute granulocyte value and type of leukemia （P〈0. 05）. Conclusion Acute leukelnia complicated with crissum in- fection is associated with a variety of factors. In clinic,focused prevention and the corresponding nursing measures should be strengthened.

关 键 词：急性白血病 肛周感染 相关因素分析 

分 类 号：R552[医药卫生—血液循环系统疾病]