乙醇致精神障碍合并糖尿病患者发生医院感染的相关因素与对策

Related factors and countermeasures of nosocomial infection of patients with mental disorders caused by alcohol combined with diabetes

目的探讨乙醇所致精神障碍合并糖尿病患者发生医院感染的相关因素分析与对策,为预防医院感染提供依据。方法回顾性分析2010年6月至2014年12月本科室收治的63例乙醇所致精神障碍合并糖尿病患者的临床资料。结果 63例乙醇所致精神障碍合并糖尿病患者,感染发生率为18.37%;感染部位居前3位的是上呼吸道、胃肠道和下呼吸道感染,分别占53.97%、22.22%和9.52%。其中以震颤谵妄患者医院感染次数发生率最高(占30.43%),与其他临床亚型比较差异具有统计学意义(χ2=11.23、P<0.05)。结论乙醇所致精神障碍合并糖尿病患者感染发生率相对较高,感染部位主要集中在呼吸道,与患者血糖、精神疾病有关,应积极进行降血糖治疗,加强老年患者的精神康复护理工作。

Objective To investigate the related factors of nosocomial infection for ethanol-induced mental disorders in patients with diabetes, and to provide a basis for the prevention of hospital infection. Methods The data of 63 patients with mental disorders due to alcohol induced mental disorders from June 2010 to December 2014 in our hospital were analyzed, retrospectively. Results All the 63 cases with mental disorder induced by ethanol in patients with diabetes mellitus and the incidence of infection was 18.37%. Infection of the top three were upper respiratory tract, gastrointestinal tract and lower respiratory tract infections, accounting for 53.97%, 22.22% and 53.97%, respectively. In delirium tremens number of hospital infection in patients with the highest rate（30.43%）, with significant differences compared with the other clinical subtypes（χ2 = 11.23, P〈0.05）. Conclusions The infection incidence rate is relatively high among patients with mental disorders induced by alcohol complicated with diabetes mellitus, the site of infection mainly concentrated in the respiratory tract, which was related with blood glucose, the spirit of diseases actively hypoglycemic treatment, the elderly patients with mental rehabilitation nursing work should be strengthed.