心肌梗死患者动脉介入治疗后医院感染危险因素分析  

Risk factors for nosocomial infections in myocardial infarction patients after arterial interventional therapy

作　　者：王永光[1] 潘嘉西[1] 章敏学[1] 吕良冬[1] 叶向阳[1] 

机构地区：[1]温州医科大学附属第三医院心血管内科,浙江温州325200

出　　处：《中华医院感染学杂志》2016年第9期1999-2001,共3页Chinese Journal of Nosocomiology

基　　金：浙江省卫生厅医药卫生计划基金资助项目(2013KYA176)

摘　　要：目的探讨心肌梗死患者动脉介入治疗后并发医院感染的相关因素,为控制介入治疗后医院感染与制定预防措施提供参考依据。方法选取医院2013年1月-2015年12月300例动脉介入治疗的心肌梗死患者作为研究对象,统计医院感染率,并对引发医院感染的相关因素实施单因素、多因素logistic回归分析;采用SPSS18.0软件进行数据处理和统计分析。结果 300例患者动脉介入治疗后46例发生感染,感染率为15.3%;感染类型主要为呼吸系统感染、泌尿系统感染、消化道感染和穿刺部位感染,分别占52.2%、26.1%、13.0%和8.7%;单因素分析显示,年龄≥60岁、住院时间≥10d、合并基础疾病、侵入性操作、未使用抗菌药物、糖化血红蛋白升高与医院感染具有相关性(P<0.05);多因素logistic回归分析显示,年龄、基础疾病、侵入性操作、使用抗菌药物和糖化血红蛋白是心肌梗死患者动脉介入治疗后医院感染的危险因素。结论动脉介入治疗心肌梗死患者的医院感染率较高,且医院感染的因素较多,应依据感染因素制定针对性的控制措施,降低医院感染。OBJECTIVE To explore the related factors for complication of nosocomial infections in myocardial infarction patients after arterial interventional therapy so as to provide guidance for prevention of the nosocomial infections after the arterial interventional therapy.METHODS A total of 300 patients with myocardial infarction who received the arterial interventional therapy in the hospital from Jan 2013 to Dec 2015 were recruited as the study objects,then the incidence of the nosocomial infections was statistically analyzed,the univariate,multivariate logistic regression analysis was conducted for the related factors for the nosocomial infections,and the statistical analysis of data was performed with the use of SPSS18.0software.RESULTS The infections occurred in 46 of 300patients after the arterial interventional therapy with the infection rate of 15.3%,of whom 52.2% had respiratory system infections,26.1% had urinary tract infections,13.0% had gastrointestinal tract infections,and 8.7% had puncture site infections.The univariate analysis indicated that the incidence of the nosocomial infections was associated with the no less than 60 years of age,length of hospital stay no less than 10 days,complication of underlying diseases,invasive operation,use of antibiotics,and elevated level of glycosylated hemoglobin（P〈0.05）.The multivariate logistic regression analysis showed that the risk factors for the nosocomial infections in the patients with myocardial infarction included the age,underlying diseases,invasive operations,use of antibiotics,and level of glycosylated hemoglobin.CONCLUSIONThe incidence of the nosocomial infections is high in the patients with myocardial infarction after the arterial interventional therapy,and there are a variety of risk factors for the nosocomial infections.It is necessary to put forward targeted prevention measures according to the risk factors so as to reduce the incidence of the nosocomial infections.

关 键 词：心肌梗死 动脉介入 医院感染 相关因素 

分 类 号：R541.4[医药卫生—心血管疾病]