综合干预措施降低ICU患者医院感染效果的探讨  

Effect of comprehensive intervention measures on reduction of hospital infections of patients in ICU

作　　者：吴艳春[1] 林华新[1] 曾金莺[1] 伍丽霞[1] 

机构地区：[1]江门市人民医院重症医学科,广东江门529000

出　　处：《中华医院感染学杂志》2014年第12期2949-2951,共3页Chinese Journal of Nosocomiology

基　　金：广东省医学科研基金资助项目(B2004109)

摘　　要：目的探讨综合干预措施对降低ICU患者医院感染效果,为寻找有效医院感染预防与控制措施提供理论依据。方法选取2011年2月-2013年9月入住ICU的1 985例患者作为研究对象,将2011年2月-2012年5月实施常规干预模式的1 105例患者作为对照组,将2012年6月-2013年9月实施综合干预模式的880例患者作为观察组,比较两组患者的医院感染率、不同临床特征医院感染率。结果观察组医院感染发生率为4.20%,低于对照组的8.05%,差异有统计学意义(P<0.05);观察组手术部位、导管相关性血流感染、呼吸道感染率分别为0.45%、0.57%、0.68%,低于对照组的1.36%、1.54%、1.72%,差异均有统计学意义(P<0.05);观察组手术、留置导管、≥60岁的患者医院感染率分别为3.18%、3.52%、1.70%,均低于对照组,差异有统计学意义(P<0.05);观察组患者呼吸机使用、中心静脉置管、导尿管置管、平均住院时间均低于对照组,差异均有统计学意义(P<0.05)。结论综合干预措施降低了ICU患者医院感染率,改善了患者免疫功能和血清学指标,缩短了患者恢复时间。OBJECTIVE To explore the effect of comprehensive intervention measures on reducing the hospital infections of patients in ICU ,in order to provide science basis for effective hospital infection control measures . METHODS Totally 1985 patients in ICU from Feb .2011 to Sept .2013 were considered as study subjects .A total of 1105 patients receiving conventional intervention from Feb .2011 to May 2012 were considered as the control group and 880 patients receiving comprehensive intervention from Jun .2012 to Sept .2013 were considered as the observation group .The hospital infection rate and hospital clinic characteristics of infection rate were compared between the two groups .RESULTS In the observation group the incidence of nosocomial infection was 4 .20% , lower than 8 .05% in the control group ,and the difference was significant （P〈0 .05） .In the observation group the infection rate of operation site ,catheter related bloodstream infection and respiratory tract infection rate was 0 .45% ,0 .57% and 0 .68% ,lower than that of the control group 1 .36% ,1 .54% and 1 .72% ,and the difference was significant （P〈 0 .05） .In the observation group ,the nosocomial infection rate of the operation patients , indwelling catheter patients and over 60 years old patients were 3 .18% ,3 .52% and 1 .70% ,which was lower than the control group ,and the difference was significant （P〈 0 .05） .In the observation group the usage of respirator ,central venous catheter intubation ,urethral catheter intubation and average hospitalization were lower than the control group ,and the differences between the two groups were significant （P〈 0 .05） .CONCLUSION Comprehensive intervention measures can reduce the incidence of hospital infections in patients in ICU ,improve the immune function and serum index of patients ,and shorten the time of recovery of patients .

关 键 词：重症监护病房 综合干预措施 医院感染 分析 

分 类 号：R181.32[医药卫生—流行病学]