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目的探究心内科住院患者发生医院感染的原因及其预防对策。方法心内科住院并发生医院感染的70例患者为感染组,并与同期住院的未发生感染的302例患者的临床资料进行比对,分析发生医院感染的原因以及防治措施。结果年龄较大、住院时间长、心功能不完善级别高、单间病房率低、侵入性操作例次较多、责任护士年资高于5年的比例较低、抗菌药物使用例数多等因素均与心内科住院患者医院感染有关,差异具有统计学意义(P<0.05)。结论高龄、病房环境差、住院时间长、频繁过量的使用抗菌类药物等因素均与心内科住院患者医院感染有关系,在心内科患者的临床治疗和护理过程中,应该严格的控制医院感染,保持病房环境干净、整洁,以减低心内科住院患者发生医院感染的几率。
Objective To investigate the causes of nosocomial infection in inpatients of cardiology department and the preventive measures. Methods Seventy patients hospitalized with cardiology in the Department of Cardiology were infected and compared with the clinical data of 302 hospitalized patients without infection in the same period. The causes of nosocomial infection and the prevention and cure measures were analyzed. The results of older, longer hospital stay, high level of imperfect heart function, single room ward rate, more invasive operation cases, the proportion of responsible nurses more than 5 years of lower rates, the number of antibiotics and other factors All of them were related to nosocomial inpatients with cardiology, the difference was statistically significant (P <0.05). Conclusion The factors such as old age, poor ward environment, long hospital stay, frequent use of antimicrobial agents and other factors are all related to nosocomial inpatients with cardiology department. In the clinical treatment and nursing process of cardiology patients, nosocomial infections should be strictly controlled and maintained Ward environment clean and tidy, in order to reduce the risk of nosocomial hospitalizations in hospital patients with nosocomial infections.