呼吸内科老年患者院内感染的相关因素分析  

Analysis of risk factors of nosocomial infections in elderly patients of respiratory medicine department

作　　者：马乾年 江虹 张璇 

机构地区：[1]浙江省衢州市衢江区人民医院呼吸内科,浙江衢州324000

出　　处：《中国现代医生》2014年第19期152-154,共3页China Modern Doctor

基　　金：浙江省卫生厅科技项目(2012KYB233)

摘　　要：目的 分析在医疗机构呼吸内科住院治疗的老年患者发生院内感染的相关因素.方法 选择2012年1月～2013年6月住我院呼吸内科的老年患者914例,其中发生院内感染99例（感染组）,未发生院内感染815例（非感染组）,分析院内感染的相关发生因素.结果 院内感染的发生率在长期卧床、吞咽困难、有创性操作等临床各因素间比较,均有统计学差异（P＜0.05）.Logistic回归分析表明,长期卧床、吞咽困难、有创性操作是院内感染发生的危险因素（P＜0.05）.结论 呼吸内科老年患者院内感染的发生与长期卧床、有创性操作及吞咽困难存在相关性,是其发生的危险因素,在临床工作中对于上述危险因素要积极给予必要的干预措施.Objective To discuss the risk factors of nosocomial infections in the elderly patients of respiratory medicine department. Methods All 914 cases of elderly patients in Department of Respiratory Medicine in our hospital from January 2012 to June 2013 were selected and divided into intonosocomial infection group with 99 cases and non-infection group with 815 cases according to the occurrence of intonosocomial infection. The related factors of nosocomial infections were analyzed. Results The difference of occurrence rate of intonosocomial infection in the elements of longterm bed, dysphagia, invasive procedure were statistically significant （P 〈 0.05）. According to the Logistic multivariate regression analysis, long-term bed, dysphagia, invasive procedure were the risk factors of intonosocomial infection （P 〈 0.05）.Conclusion The incidence of nosocomial infections in the elderly patients of the respiratory medicine department has closely relation with the long-term bed, invasive procedure, and dysphagia, which are the independent risk fac- tors; it is right to carry out interventions measures.

关 键 词：呼吸内科 老年患者 院内感染 危险因素 多因素分析 

分 类 号：R563.1[医药卫生—呼吸系统]