老年冠心病患者医院感染因素的调查

王利然中国人民解放军装甲兵技术学院门诊部内科，吉林长春　130000

老年冠心病患者医院感染因素的调查

王利然
中国人民解放军装甲兵技术学院门诊部内科，吉林长春130000

目的 调查老年冠心病患者医院感染因素，为研究其临床预防及治疗提供依据。方法 回顾性分析2014年3月—2016年1月收治的270例老年冠心病患者临床资料，统计与医院感染发生相关的因素。结果 270例老年冠心病患者中发生医院感染34例，感染率12.6%；呼吸系统、泌尿系统、胃肠道、皮肤软组织及其他部位感染分别占61.8%、20.6%、8.8%、5.9%、2.9%。医院感染病例中实施侵入性操作的占79.4%。感染病原菌以革兰阴性菌为主，占可检出病例的52.6%。老年冠心病患者医院感染的发生还与患者年龄、并发症、住院时间和抗菌药物的使用相关。结论年龄、侵入性操作、并发症、住院时间、抗菌药物的使用与老年冠心病患者医院感染的发生密切相关，针对性采取干预措施，以期降低医院感染几率。

老年；冠心病；医院感染

［Abstract］Objective To survey the hospital infection factor in elderly patients with coronary heart disease and provide basis for researching its clinical prevention and treatment.Methods The clinical data of 270 elderly patients with coronary heart disease admitted and treated in our hospital from March 2014 to January 2016 were retrospectively analyzed，and the factors related to hospital infection were counted.Results In 270 cases of elderly patients with coronary heart disease，hospital infection occurred to 34 cases，and the infection rate was 12.6%，the respiratory system，urinary system，gastrointestinal tract，skin and soft tissue and other parts infection rate were respectively 61.8%，20.6%，8.8%，5.9%，2.9%and 79.4% cases implemented invasive operation，the infection pathogenic bacteria were mainly gram-negative bacteria，accounting for 52.6%in the cases that could be detected，and the occurrence of hospital infection in elderly patients with coronary heart disease was related to the age，complication，length of stay and use of antibacterials of patients.Conclusion The age，invasive operation，complication，length of stay and use of antibacterials are closely related to the occurrence of hospital infection in elderly patients with coronary heart disease，we should adopt intervention measures pointedly in order to reduce the hospital infection probability.

［Key words］Elderly；Coronary heart disease；Hospital infection

医院感染即是住院病人在医院内获得的感染，包括在住院期间发生的感染以及在医院内获得出院后发生的感染，其发生不仅增大了医疗人员负担，也给患者增加痛苦，延长了治疗时间，甚至易引发医疗纠纷［1-7］，对医患关系造成不良影响。目前医院感染已经成为一个重要的安全医疗问题。老年冠心病患者具有年龄较大、免疫力较低、病情较重等特定，是医院感染的高发人群［8-15］。因此，对老年冠心病患者医院感染的因素进行调查研究，为控制医院感染的发生提供依据及可参考的防治措施。……