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目的:对消化内科医院感染患者进行全面的临床分析,探讨有效的预防管理措施。方法:以武警浙江总队嘉兴医院2013年3月~2015年3月收治的160例消化内科患者为研究对象,对其临床资料进行回顾性分析。综合考虑患者的年龄、住院时间、病情及感染部位,分析其医院感染的特点。结果:随着患者年龄的增加,医院感染的发生率逐渐上升,不同年龄段间医院感染发生率差异显著(P<0.05)。患者住院时间越长,发生医院感染的概率愈大。患者发生医院感染的部位绝大部分集中在上呼吸道,其次为胃肠道。不同疾病类型的感染发生率差异明显(P<0.05),其中消化道肿瘤、消化道出血院内感染的概率相对较大。结论:消化内科患者发生医院感染与众多因素有关,加强对重点人群的保护,严格执行无菌操作,及早发现,及早治疗,制定各种措施以降低医院感染的发生。
OBJECTIVE: To conduct a comprehensive clinical analysis of patients with nosocomial infections in gastroenterology and explore effective prevention and management measures. Methods: A total of 160 patients with gastroenterology admitted to Jiaxing Hospital of Zhejiang Province from March 2013 to March 2015 were selected as the research object, and their clinical data were retrospectively analyzed. Comprehensive consideration of the patient’s age, length of stay, illness and infection site, analysis of the characteristics of its nosocomial infection. Results: With the increase of age, the incidence of nosocomial infections gradually increased, and the incidence of nosocomial infections was significantly different among different age groups (P <0.05). Patients with longer hospital stays, the greater the probability of nosocomial infections. The majority of patients with nosocomial infections were concentrated in the upper respiratory tract, followed by the gastrointestinal tract. The incidence of different types of diseases was significantly different (P <0.05), of which the incidence of digestive tract cancer, gastrointestinal bleeding is relatively large. Conclusion: Nosocomial infections in patients with gastrointestinal diseases are related to many factors, and the protection of key populations is strengthened. Strict implementation of aseptic techniques, early detection and early treatment, and development of various measures to reduce the occurrence of nosocomial infections.