老年心脑血管病患者肌少症与医院相关感染的相关性分析  

The correlation between sarcopenia and hospital-related infections in elderly patients with cardiovascular and cerebrovascular diseases

作　　者：梁丽 郑萍萍[1] 梁静 LIANG Li;ZHENG Ping-ping;LIANG Jing(Department of General Medicine,Taihe Hospital of Shiyan,Shiyan 442000,China)

机构地区：[1]湖北省十堰市太和医院综合医疗科,湖北十堰442000

出　　处：《实用医院临床杂志》2024年第4期132-136,共5页Practical Journal of Clinical Medicine

基　　金：十堰市科学技术开发与研究课题(编号:2021K23)。

摘　　要：目的 了解老年心脑血管病患者肌少症和医院相关感染发生情况,并探讨其相关性。方法 随机抽取2021年1月至2022年12月十堰市太和医院住院治疗的老年心脑血管病患者556例,采用2019年亚洲肌少症工作组(AWGS)标准进行肌少症筛查与诊断,查阅病历收集医院相关感染数据,采用相关性分析和多因素Logistic回归分析医院相关感染的影响因素。结果 肌少症筛查阳性率、可疑肌少症、肌少症和严重肌少症检出率分别为28.78%、26.08%、15.65%和3.78%,不同性别和共病情况的心脑血管病患者肌少症筛查阳性、可疑肌少症和肌少症检出率差异有统计学意义(P<0.05)。共发生医院相关感染205例次,发生率36.87%,不同年龄和共病情况的患者医院相关感染发生率差异有统计学意义(P<0.05)。Logistic回归发现,年龄、肌少症和合并糖尿病是患者发生医院相关感染的危险因素(P<0.05)。相关性分析发现医院相关感染和肌少症有一定相关性(r=0.337,P<0.05)。结论 老年心脑血管疾病患者肌少症和医院相关感染发生率较高,医院相关感染可能发生与年龄、是否有肌少症和合并糖尿病有关。Objective To understand the incidence of sarcopenia and hospital-related infections in elderly patients with cardiovascular and cerebrovascular diseases,and explore their correlations.Methods A total of 556 elderly patients with cardiovascular and cerebrovascular diseases in our hospital from January 2021 to December 2022 were randomly selected.Their sarcopenia was screened and diagnosed by using criterion of 2019 Asian Working Group for Sarcopenia(AWCS).Hospital-related infection data were collected from the medical records.Correlation analysis and multivariate logistic regression were used to analyze the influencing factors of hospital-related infection.Results The positive rates of screening sarcopenia were 28.78%,suspicious sarcopenia was 26.08%,sarcopenia was 15.65%and severe sarcopenia was 3.78%.There were statistically significant differences in the positive rates of screening sarcopenia,suspicious sarcopenia,and sarcopenia among patients with cardiovascular and cerebrovascular diseases of different genders and comorbidities(P<0.05).A total of 205 cases of hospital-related infections occurred.The incidence rate was 36.87%.The incidence of hospital-related infections were significantly different among patients of different ages and comorbidities(P<0.05).Logistic regression analysis showed that age,sarcopenia and comorbidity of diabetes mellitus were risk factors for hospitalrelated infection(P<0.05).Correlation analysis found there was a certain correlation between hospital-related infections and sarcopenia(r=0.337).Conclusions The incidence of sarcopenia and hospital-related infection is high among elderly patients with cardiovascular cerebrovascular disease.Hospital-related infection may be related to age,sarcopenia and diabetes mellitus.

关 键 词：医院相关感染 肌少症 影响因素 老年患者 心脑血管疾病 

分 类 号：R592[医药卫生—老年医学] R746.9[医药卫生—内科学]