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目的:探讨老年2型糖尿病患者医院感染危险因素及预防措施。方法:对2010年1月-2012年12月内分泌科收治的2 620例老年2型糖尿病患者所发生医院感染进行回顾性调查分析。结果:3年中医院感染发生率较为稳定,总感染率为9.7%。其中常见的是泌尿系感染、呼吸系统感染和胃肠道感染。病原学构成比依次是革兰阴性杆菌、革兰阳性球菌和真菌。患者发生医院感染的危险因素有:2型糖尿病的病程、住院时间、创伤性的医疗操作、长期应用广谱抗菌素、高血糖等代谢紊乱、合并糖尿病慢性合并症等。结论:老年2型糖尿病患者是医院感染发生高危人群,必须加以重视,积极预防与控制危险因素,对提高患者生存质量具有重大意义。
Objective: To explore the risk factors and preventive measures of nosocomial infection in elderly type 2 diabetic patients. Methods: A retrospective analysis of nosocomial infections in 2 620 elderly patients with type 2 diabetes admitted to Endocrinology from January 2010 to December 2012 was conducted. Results: The incidence of STH infection in 3 years was relatively stable with a total infection rate of 9.7%. Common among these are urinary tract infections, respiratory infections and gastrointestinal infections. The etiological composition ratio followed by gram-negative bacilli, gram-positive cocci and fungi. Patients with nosocomial infections risk factors: type 2 diabetes course, hospital stay, traumatic medical practice, long-term use of broad-spectrum antibiotics, hyperglycemia and other metabolic disorders, with chronic complications of diabetes. Conclusion: Elderly patients with type 2 diabetes mellitus are at high risk of nosocomial infection and must be paid attention to. Active prevention and control of risk factors are of great significance to improve patients’ quality of life.