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目的探讨糖尿病患者合并医院感染的相关因素。方法糖尿病合并医院感染患者60例作为观察组,按1∶1选择无医院感染糖尿病者作为对照组,对感染可能因素先进行单因素χ2、t检验;然后进行Logistic回归分析。结果单因素分析11个变量是医院感染危险因素(P<0.05),Logistic回归分析影响医院感染效果的因素为:年龄≥60岁、实施有创性操作、空腹血糖≥8.0 mmol/L、预防应用抗生素,其OR值分别为3.42、3.12、2.65、2.12。结论糖尿病并发医院感染与多种因素相关,应改善老年患者体质、严格控制血糖水平、掌握介入性诊断和治疗操作的适应证、避免不合理预防性应用抗生素。
Objective To investigate the related factors of nosocomial infection in diabetic patients. Methods Sixty patients with nosocomial infection of diabetes mellitus were selected as the observation group. Patients with nosocomial diabetes mellitus were selected as the control group according to 1: 1 ratio. The possible factors of infection were subjected to one-way χ2, t test. Logistic regression analysis was then conducted. Results Univariate analysis showed that 11 variables were the risk factors of nosocomial infection (P <0.05). Logistic regression analysis showed that the factors influencing nosocomial infection were age≥60 years, invasive operation, fasting blood glucose≥8.0 mmol / L, Antibiotics, the OR values were 3.42,3.12,2.65,2.12. Conclusions Infection with nosocomial infections in diabetes is related to many factors. The constitution of elderly patients should be improved. The blood glucose level should be controlled strictly. Indications of interventional diagnosis and treatment should be grasped to avoid unreasonable prophylactic use of antibiotics.