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目的:分析胰腺疾病患者医院感染调查以及相关因素,探讨出该如何防控,为今后的临床工作提供帮助。方法:选取我院2014年3月~2014年7月所收治的80例的急性胰腺炎患者,其中合并胰腺感染患者40例,设为观察组,未合并胰腺感染患者40例,设为对照组。对两组患者的年龄、性别、就诊时间、APACHEⅡ评分、Ranson评分、血淀粉酶、血钙、糖尿病史、低氧血症、胃肠功能以及合并多器官功能障碍综合症等指标进行变量分析,进而总结出患者的胰腺疾病感染的相关因素。结果:两组患者在APACHEⅡ评分、Ranson评分、低氧血症、呼吸机使用率等方面比较,差异均存在统计学意义(P<0.05)。结论:高APACHEⅡ评分、糖尿病史、低氧血症等均易诱发胰腺疾病患者胰腺感染,临床医师应警惕入院患者是否有易感因素存在,并有针对性地采取预防措施,降低继发胰腺感染风险。
Objective: To analyze the investigation of nosocomial infection in patients with pancreatic diseases and related factors, explore how to prevent and control them, and provide help for future clinical work. Methods: A total of 80 patients with acute pancreatitis admitted to our hospital from March 2014 to July 2014 were enrolled. Forty patients with pancreatic infection were selected as observation group and 40 patients without pancreatic infection as control group . The variables of age, sex, time of visiting, APACHEⅡscore, Ranson score, blood amylase, blood calcium, history of diabetes, hypoxemia, gastrointestinal function and multiple organ dysfunction syndrome were analyzed. Then summed up the patient’s pancreatic disease related factors. Results: There were significant differences in APACHEⅡscore, Ranson score, hypoxemia and ventilator utilization between the two groups (P <0.05). Conclusion: High APACHEⅡscore, diabetes history, hypoxemia and so on are easy to induce pancreas infection in patients with pancreatic diseases. Clinicians should be alert to the existence of susceptible factors in hospitalized patients and take preventive measures to reduce secondary pancreatic infection risk.