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目的探讨老年上消化道出血患者并发医院感染的相关因素,便于有效防治。方法回顾性调查233例老年上消化道出血住院患者,将61例并发医院感染病例设为试验组,122例未并发医院感染病例设为对照组,对其进行比较分析。结果多因素logistic逐步回归分析显示,年龄(OR=1.187)、住院天数(OR=1.254)、体力状况评分(OR=11.379)、侵入性诊疗操作(OR=12.042)、抗菌药物联合使用(OR=5.993),对老年上消化道患者并发医院感染的影响差异有统计学意义(P<0.05)。结论加强老年上消化道出血患者医院感染相关因素的监控,可针对性地进行早期预防和治疗。
Objective To investigate the related factors of nosocomial infection in elderly patients with upper gastrointestinal bleeding, and to facilitate effective prevention and treatment. Methods A retrospective survey of 233 cases of elderly patients with upper gastrointestinal bleeding, the incidence of 61 cases of concurrent hospital infection as the experimental group, 122 cases of non-concurrent nosocomial infections as a control group, a comparative analysis. Results The multivariate logistic stepwise regression analysis showed that age (OR = 1.187), length of hospital stay (OR = 1.254), physical status score (OR = 11.379), invasive procedure (OR = 12.042) 5.993). There was a significant difference in the incidence of nosocomial infections among upper gastrointestinal patients (P <0.05). Conclusion The monitoring of the related factors of nosocomial infection in elderly patients with upper gastrointestinal bleeding can be monitored and targeted prevention and treatment can be targeted.