社区糖尿病合并烫伤患者感染的危险因素及其预防策略分析  

Risk factors of infection in patients with diabetes mellitus complicated with burns in community and its prevention strategy

作　　者：唐文平 蔡光友[2] TANG Wenping;CAI Guangyou(Dongshan Street Community Health Center of Yuexiu District,Guangzhou,Guangdong 510600,China;Department of Emergency Surgery,The People′s Hospital of Dongguan,Dongguan,Guangdong 523000,China)

机构地区：[1]广州市越秀区东山街社区卫生服务中心,广东广州510600 [2]东莞市人民医院第一门诊部急诊外科,广东东莞523000

出　　处：《安徽医药》2017年第12期2214-2217,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨社区糖尿病合并烫伤患者感染的危险因素及其预防策略。方法选取糖尿病合并烫伤患者120例,将创面清洗后取其创面分泌物进行细菌培养检测,统计社区糖尿病合并烫伤患者感染率,比较社区糖尿病合并烫伤患者感染的临床资料,采用单因素和多因素分析法分析社区糖尿病合并烫伤患者感染的危险因素,并根据分析结果提出相应的对策。结果120例社区糖尿病合并烫伤患者中感染者41例,感染率为34.17%。与无感染者比较,感染者的年龄≥60岁的患者比例、糖尿病病程≥10年的患者比例、伤后入院时间≥6 h的患者比例、抗菌药物使用种类≥3种的患者比例、烫伤总面积(TBSA)≥20%的患者比例均增大,差异有统计学意义(P<0.001);单因素分析结果显示,年龄、糖尿病病程、伤后入院时间、抗菌药物使用种类及TBSA均与社区糖尿病合并烫伤患者感染相关。进一步的Logistic多元回归分析结果显示,糖尿病病程、抗菌药物使用种类、伤后入院时间及TBSA均是社区糖尿病合并烫伤患者感染的危险因素。结论社区糖尿病合并烫伤患者感染的危险因素有糖尿病病程、抗菌药物使用种类、伤后入院时间及TBSA等,控制这些因素有利于社区糖尿病合并烫伤患者感染的预防。Objective To investigate the risk factors of infection in diabetic burns patients in community and its prevention strategy.MethodsOne hundred and twenty cases of patients with diabetic burns were selected.Wound secretions were taken after cleaning wound and cultured for bacteria detection.Infection rates of120community patients with diabetic burns were statistically analyzed,and clinical data of community diabetic burns patients with or without infection were compared.Single factor and multifactor analysis method were applied to analyze the risk factors for infection in community diabetic burns patients,and corresponding countermeasures were put forward according to the analysis results.ResultsIn120cases of community diabetic burns patients,41cases had infection,and the infection rate was34.17%.Compared with patients without infection,age≥60patients rate,duration of diabetes≥10years patients rate,admission time after injury≥6h patients rate,antimicrobial drug usage≥3kinds patients rate and burn area(TBSA)≥20%patients rate of patients with infection were higher(P<0.001).In addition,the single factor analysis showed that age,duration of diabetes,admission time after injury,antimicrobial drug kinds and TBSA were relative with the infection in community diabetic burns patients.Further logistic multivariate regression analysis results showed that the duration of diabetes,admission time after injury,antimicrobial drug kinds and TBSA were risk factors of infection in community diabetic burns patients.ConclusionsRisk factors of infection in community diabetic burns patients include duration of diabetes,admission time after injury,antimicrobial drug kinds and TBSA etc.,and controlling these factors is conducive to preventing infection of community diabetic burns patients.

关 键 词：社区 糖尿病 烫伤 感染 危险因素 预防策略 

分 类 号：R587.1[医药卫生—内分泌] R644[医药卫生—内科学]