综合干预措施对急诊留观危重患者获得性感染控制的研究  

Effects of comprehensive interventions on control of acquired infections in critically ill patients of emergency department under observation

作　　者：钟利君[1] 诸伟红[1] 何志文[1] 黄赣英[1] 谢菊艳 

机构地区：[1]杭州市第一人民医院急诊科,浙江杭州310006

出　　处：《中华医院感染学杂志》2015年第12期2763-2765,共3页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生科学基金资助项目(2004A018)

摘　　要：目的研究综合干预方案对急诊留观危重患者获得性感染的影响,以降低感染率。方法选取2014年1-12月收治的960例急诊留观危重患者为研究对象,按照随机数表法分为对照组与观察组,每组480例患者,对照组采取常规干预,观察组采取综合方案干预,比较两组患者获得性感染率、生命体征、转归、治疗费用、住院时间、住院时间与感染的关系。结果观察组患者感染率为15.42%,明显低于对照组患者的40.21%;观察组患者血氧饱和度SaO2高于对照组,平均呼吸频率、体温均低于对照组;观察组患者病死率为6.67%、治愈率93.33%,明显优于对照组的16.88%、83.12%;观察组患者住院时间(12.8±0.3)d、治疗费用(1 059.7±11.2)元,均低于对照组(21.6±1.5)d、(1 402.1±31.4)元,差异均有统计学意义(P<0.05);观察组与对照组患者住院时间>23d时,感染率均最高,分别为26.03%和57.28%,差异有统计学意义(P<0.05)。结论综合干预方案干预可有效降低患者获得性感染率、住院时间及治疗费用。OBJECTIVE To observe the effects of comprehensive interventions on the acquired infections in the critically ill patients of emergency department under observation so as to reduce the infection rate .METHODS A total of 960 critically ill patients of emergency department under observation who were treated from Jan to Dec 2014 were enrolled in the study and randomly divided into the control group and the observation group ,with 480 cases in each .The control group was treated with conventional interventions ,while the observation group was treated with comprehensive interventions .The incidence of acquired infections ,vital signs ,outcomes ,treatment cost ,and length of hospital stay were observed and compared between the two groups of patients , and the relationship between the length of hospital stay and the infections was analyzed .RESULTS The infection rate of the observation group was 15 .42% ,significantly lower than 40 .21% of the control group .The arterial oxygen satu‐ration （SaO2 ） of the observation group was higher than that of the control group ;the average breathing rate and body temperature of the observation group were lower than those of the control group .The mortality rate of the observation group was 6 .67% ,significantly lower than 16 .88% of the control group ;the cure rate of the observa‐tion group was 93 .33% ,significantly higher than 83 .12% of the control group .The length of hospital stay of the observation group was （12 .8 ± 0 .3） days ,shorter than （21 .6 ± 1 .5）days of the control group ;the treatment cost of the observation group was （1 059 .7 ± 11 .2） yuan ,significantly less than （1 402 .1 ± 31 .4） yuan of the control group （P〈0 .05） .The infection rate was the highest in the observation group （26 .03% ） and the control group （57 .28% ） when the patients were hospitalized for more than 23 days ,and there was significant difference （P〈0 .05） .CONCLUSIONS The comprehensive interventions can effectively reduce the incidence of acquired i

关 键 词：综合干预 急诊留观 危重患者 获得性感染 

分 类 号：R181.32[医药卫生—流行病学]