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目的探讨肺心病合并急性冠脉综合征患者发生肺部多药耐药菌感染的危险因素,降低感染率。方法选择2010年5月-2013年3月接受治疗的80例肺心病合并急性冠脉综合征患者,统计感染患者的临床资料,分析其感染因素,采用SPSS16.0进行统计分析。结果 80例肺心病合并急性冠脉综合征患者中有59例发生感染,感染率为73.8%;患者的年龄、性别、住院天数长短及是否使用抗菌药物差异均有统计学意义(P<0.05)。结论肺心病合并急性冠脉综合征患者肺部多药耐药菌感染的主要危险因素为年龄、性别、住院天数以及抗菌药物的使用等,值得对上述危险因素进行进一步研究。
Objective To investigate the risk factors of pulmonary multidrug-resistant bacterial infection in patients with pulmonary heart disease complicated with acute coronary syndrome and to reduce the infection rate. Methods From May 2010 to March 2013, 80 patients with cor pulmonale complicated with acute coronary syndrome who were treated were enrolled in this study. The clinical data of infected patients were statistically analyzed, and the infection factors were analyzed. The data were analyzed by SPSS16.0. Results Of the 80 patients with cor pulmonale complicated with acute coronary syndrome, 59 cases were infected with the infection rate of 73.8%. There were significant differences in age, sex, duration of hospitalization and antibacterial use (P <0.05) . Conclusions The main risk factors of pulmonary multidrug-resistant bacterial infections in patients with pulmonary heart disease complicated with acute coronary syndrome are age, sex, days of hospitalization and the use of antimicrobial agents. Therefore, further study on these risk factors is worthy of investigation.