老年冠心病患者治疗及其感染危险因素控制现状分析

Analysis of the current situation on the treatment of elderly patients with coronary heart disease and the control of its related risk factors

目的:探讨老年冠心病患者在治疗中感染危险因素的防治措施。方法:2011年3月-2014年3月收治老年冠心病患者400例,对其临床资料进行回顾性分析,对出现感染的患者进行统计,并采用SPSS 18.0统计学软件对数据资料进行相应分析。结果:患者中出现感染50例(13.6%),其中呼吸系统感染30例(63.6%),泌尿系统感染12例(18.3%),胃肠道感染4例(7.3%),口腔感染2例(4.9%),其他部位感染2例(4.9%)。患者感染病菌为革兰阴性菌53.6%。比较差异具有统计学意义,P<0.05。结论:患者的感染危险因素与患者的年龄、住院时间、心功能、基础疾病、并发性疾病、病菌侵入性以及使用的抗菌药物存在关系。采取针对性的预防措施可取得较好的效果。

Objective:To investigate the prevention and control measures on risk factors of infection during the treatment of coronary heart disease among elderly patients.Methods:400 elderly patients with coronary heart disease were selected from March2011 to March 2014,and we retrospectively analyzed their clinical data.Infected patients were statisticed and analyzed by the statistical software of SPSS 18.0.Results:There were 50 patients(13.6%) occurred infection;in which there were 30(63.6%)cases of respiratory system infection,12(18.3%) cases of urinary tract infection,4(7.3%) cases of gastrointestinal tract infection,2(4.9%)cases of oral infection,and 2(4.9%) cases of other sites of infection.53.6% of patients were infected with gram negative bacteria.The difference was statistically significant,P<0.05.Conclusion:The risk factors of infection included the age of patients,duration of hospitalization,heart function,concurrent disease on basic disease,pathogen and antimicrobial use.Taking preventive measures achieved good results.