520例原发性肝癌患者医院感染的分析  

Analysis of Nosocomial Infection in 520 Patients with Primary Liver Cancer

作　　者：陈定贵[1] 龙春梅[1] 郑中伟[1] CHEN Ding-gui;LONG Chun-mei;ZHENG Zhong-wei(The Third People’s Hospital of Changzhou,Changzhou 213001,China)

机构地区：[1]江苏省常州市第三人民医院,江苏常州213001

出　　处：《中国医药指南》2018年第27期5-6,共2页Guide of China Medicine

摘　　要：目的探讨原发性肝癌患者医院感染的相关性因素及预防措施。方法采用回顾性调查方法对520例原发性肝癌患者进行分析。结果发生医院感染101例,105例次,医院感染率为19.4%,例次感染率为20.2%。医院感染部位主要是腹腔和呼吸道,病原体以革兰阴性菌为主。单因素分析结果显示:年龄、住院天数、临床分期、出现并发症及侵入性操作等与医院感染的发生具有相关性(P<0.05);多因素logistic回归分析结果显示:年龄、住院天数、临床分期、出现并发症及侵入性操作是肝癌患者发生医院感染的危险因素。结论原发性肝癌患者的医院感染发生率高,应重视与医院感染发生的相关因素,采取积极有效的防治措施。Objetive To explore the correlated factors and preventive measures of nosocomial infection among the patients with primary carcinoma of the liver.Methods A retrospective survey on 520 patients with primary carcinoma of the liver was conducted.Results The results showed that 101 of the 520 cases had nosocomial infection,with 105 case-times of infection.The rate of infection was 19.4%,while the rate of case-times of infection was 20.2%.The main infection sites were at abdomen and respiratory tract.The chief pathogens were Gram-negative bacteria.Univariate analysis showed age,hospitalized days,tumor staging scheme,complications,invasive treatment procedures and operation were significant risk factors of nosocomial infection(P<0.001).Muhivariate logistic regression analysis identified age,hospitalized days,tumor staging scheme,complications,invasive treatment procedures and operation to be independent risk factors of nosocomial infection.Conclusions Nosocomial infection is a high frequent complication in patients with primary carcinoma of the liver and those related factors should be paid attenion.Comprehensive measures should be adopted for treating nosocomial infection.

关 键 词：肝肿瘤 肝硬化 医院感染 危险因素 

分 类 号：R735.7[医药卫生—肿瘤]