摘要
目的探讨老年恶性肠道肿瘤患者术后并发医院感染的危险因素,提出干预措施,减少感染率。方法选取老年恶性肠道肿瘤患者293例,对其临床资料进行统计和整理,根据相关诊断标准对医院感染发生进行分析。结果 293例患者中82例于术后发生医院感染,感染率为27.99%,其中以呼吸道感染最为常见占48.78%;多因素logistic回归分析,有基础疾病、手术时间和引流时间较长是引起老年恶性肠道肿瘤患者术后感染的独立危险因素(P<0.05)。结论作为老年恶性肠道肿瘤的高发区的医护人员,术前积极控制老年患者基础疾病,术中以娴熟的技术保证手术质量和时间,术后密切观察患者引流状况以及基础体征,将术后医院感染降至最低。
OBJECTIVE To study the risk factors of the postoperative infections in the senile patients with malig- nant intestinal tract tumor so as to put forward the intervention measures and reduce the infection rate. METHODS A total of 293 cases of elderly patients with malignant intestinal tract tumor were enrolled in the study, then the clinical data of the patients were statistically analyzed, and the incidence of nosocomial infections was analyzed according to the diagnostic criteria. RESULTS Of totally 293 cases of patients investigated, the nosocomial infec- tions occurred in 82 cases with the incidence rate of 27.99 %, the respiratory tract was the most common infeetion site, accounting for 48.78M. The multivariate logistic regression analysis indicated that the underlying diseases, operation duration, and long time of drainage were the independent risk factors of the postoperative infections in the senile patients with malignant intestinal tract tumor (P〈0.05). CONCLUSION It is necessary for the medical staff to actively control the underlying diseases in the senile patients with malignant intestinal tract tumor, ensure the operation quality and time with the skillful technique, and closely monitor the drainage status and basic signs so as to minimize the incidence of postoperative infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第15期3666-3668,共3页
Chinese Journal of Nosocomiology
基金
山东省科学技术发展计划项目(2011YD18002)
关键词
恶性肿瘤
医院感染
危险因素
Malignant tumor
Nosocomial infection
Risk factor