某三级甲等医院Ⅱ型糖尿病患者医院感染危险因素分析  

Research on risk factors of nosocomial infection in type Ⅱ diabetes patients of a tertiary teaching hospital

作　　者：王伟丽[1] 吴晓慧[1] 王书会[1] 刘晨霞 肖伟 WANG Wei-Li;WU Xiao-hui;WANG Shu-hui;LIU Chen-xia;XIAO Wei(Qilu Hospital of Shandong University,Jinan Shandong 250012;1 Jinan Central Hospital Affiliated to Shandong University, Chin)

机构地区：[1]山东大学齐鲁医院,山东济南250012 [2]山东大学附属济南市中心医院

出　　处：《中国消毒学杂志》2018年第4期286-288,共3页Chinese Journal of Disinfection

基　　金：山东大学齐鲁医院院基金(2017QLHL11)

摘　　要：目的探讨Ⅱ型糖尿病患者发生医院感染的相关危险因素,为制定有效的控制措施提供依据。方法选取某三级甲等医院内分泌科2015年住院的Ⅱ型糖尿病患817例,用目标性监测方法,将患者资料填写到自行设计的《Ⅱ型糖尿病住院患者医院感染监测调查表》,收集记录患者性别、年龄、住院天数、空腹血糖、胆固醇、白蛋白和运动神经传导速度等相关信息。统计方法采用卡方检验、非条件Logistic回归分析。结果 817例Ⅱ型糖尿病患者最常见的感染部位是泌尿道,占34.11%,其次为下呼吸道感染和上呼吸道感染,均占28.24%。不同性别、年龄、住院天数、空腹血糖、胆固醇、白蛋白、运动神经传导速度、眼底病变和有无基础疾病患者间的医院感率差异有统计学意义。Logistic回归分析显示性别、年龄、住院天数和运动神经传导速度为医院感染的独立危险因素。结论Ⅱ型糖尿病患者的医院感染率高于医院同期总感染率,属于医院高感染人群;作为重点监控对象,应根据危险因素采取针对性的防控措施,减少医院感染发生。Objective To explore risk factors of nosocomial infection among patients with typeⅡdiabetes mellitus,so as to supply scientific foundation for medical administrative departments to develop relevant principles. Methods 817 typeⅡdiabetes mellitus patients admitted to endocrine department of a tertiary teaching hospital in Shandong during 2015 were chosen by use of cluster sampling methods. All patients were monitored and then filled in the self-designed forms and record gender,age,hospitalization days,fasting blood glucose,cholesterol,albumin,motor nerve conduction velocity,etc. Chi-square test,t test and Logistic regression analysis was used to analyze the risk factors of hospital infection. Results In 817 cases of TypeⅡdiabetes mellitus patients,with urinary tract infection was the most,which accounted for 34. 11%. Then followed by the lower respiratory tract infection and the upper respiratory tract which both accounted for 28. 24%. Nosocomial infection on typeⅡdiabetes mellitus was associated with gender,age,hospitalization days,fasting blood glucose,cholesterol,albumin,motor nerve conduction velocity,basic diseases,complications and course of disease. Gender,age,hospitalization days,motor nerve conduction velocity were independent risk factors of nosocomial infection. Conclusion TypeⅡdiabetes patients are more likely to develop nosocomial infections,preventive measures should be taken according to the above risk factors to reduce the incidence of nosocomial infection.

关 键 词：Ⅱ型糖尿病 医院感染 危险因素 

分 类 号：R181.32[医药卫生—流行病学]