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目的了解肺癌手术患者医院感染发生的相关危险因素,为提出有效的干预措施提供循征依据。方法采用前瞻性调查方法,监测2013年1-12月心胸外科所有肺癌手术患者医院感染发生情况,运用检验对可能的危险因素进行分析。结果 437例肺癌手术患者发生医院感染21例,感染率为5.53%。感染部位呼吸道占66.67%,病原菌为革兰阴性菌。住院时间、长期大量吸烟、糖尿病史、慢性肺气肿病史、手术时间、切口疼痛明显、焦虑、医学应对方式与医院感染的发生呈显著的相关性(P<0.05)。结论肺癌手术患者医院感染的部位主要为呼吸道,住院时间、长期大量吸烟、糖尿病史、慢性肺气肿病史等8个因素为其危险因素,应针对围手术期实施有效干预措施。
Objective To understand the related risk factors of nosocomial infections in patients with lung cancer surgery and to provide evidence for effective interventions. Methods A prospective investigation was conducted to monitor the occurrence of nosocomial infections in all patients undergoing surgery for lung cancer from January to December in 2013. The possible risk factors were analyzed by using the test. Results Among the 437 lung cancer patients, 21 cases were nosocomial infection, the infection rate was 5.53%. Respiratory tract infection accounted for 66.67%, the pathogen is gram-negative bacteria. There were significant correlations between hospitalization time, long-term smoking, diabetes mellitus, history of chronic emphysema, operation time, incision pain, anxiety and medical coping style (P <0.05). Conclusion The main nosocomial infections in patients with lung cancer include respiratory tract, length of hospital stay, long-term smoking, diabetes mellitus, and history of chronic emphysema. These factors should be considered in the perioperative period.