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目的:分析慢性心力衰竭老年患者医院感染的相关因素及其对策。方法:选取2015年2月—2017年2月期间收治的慢性心力衰竭老年患者200例病历资料,统计医院感染的发生率,分析医院感染发生的因素,并探讨相关应对措施。结果:200例慢性心力衰竭老年患者,发生医院感染者30例,其感染的发生率为15.00%;其中15例呼吸道感染,7例泌尿系统感染,4例消化系统感染,2例口腔感染,2例皮肤黏膜感染;经单因素分析,结果示医院感染与患者年龄、病程、住院时间、心功能分级、合并肺部疾病、合并糖尿病、侵入性操作等因素具有相关性(P<0.05);经多因素Logistic回归分析,结果示患者年龄>70岁、住院时间>14 d、合并糖尿病和有侵入性操作是医院感染的独立危险因素(P<0.05)。结论:影响慢性心力衰竭老年患者医院感染的因素较多,临床应制订针对性防治措施,以降低医院感染率,提高治疗效果。
Objective: To analyze the related factors and countermeasures of nosocomial infection in elderly patients with chronic heart failure. Methods: The data of 200 cases of elderly patients with chronic heart failure admitted from February 2015 to February 2017 were collected. The incidence of nosocomial infections was calculated. The factors that caused nosocomial infections were analyzed. Relevant countermeasures were also discussed. Results: The incidence of nosocomial infection in 30 elderly patients with chronic heart failure was 30 and the incidence rate was 15.00%. Among them, 15 were respiratory infections, 7 were urinary tract infections, 4 were digestive infections, 2 were oral infections and 2 were oral infections. Cases of skin and mucous membrane infection. According to the univariate analysis, the results showed that the nosocomial infection was correlated with the age, course of disease, length of hospital stay, grade of cardiac function, pulmonary disease, diabetes mellitus and invasive procedure (P <0.05) Multivariate Logistic regression analysis showed that patients aged> 70 years and hospitalized for> 14 days had an independent risk of nosocomial infection with diabetes and invasive procedures (P <0.05). CONCLUSION: There are many factors influencing nosocomial infection in elderly patients with chronic heart failure. Precautionary measures should be formulated to reduce the nosocomial infection rate and improve the treatment effect.