论文部分内容阅读
目的了解II型糖尿病脑梗死患者发生院内肺部感染情况及影响因素,为制定防治策略提供指导。方法对69例II型糖尿病脑梗死患者进行前瞻性调查,并对发生院内肺部感染的危害因素进行单因素、多元回归等分析。结果II型糖尿病脑梗死患者发生院内肺部感染40例,肺部感染率为57.97%。多因素分析显示,年龄、住院时间、大面积脑梗死、侵入性医疗行为操作、糖尿病病程、抗生素使用时间等均是发生院内肺部感染的独立危险因素(P<0.05)。结论II型糖尿病脑梗死患者发生院内肺部感染率较高,与年龄、住院时间、大面积脑梗死、侵入性医疗行为操作、糖尿病病程、抗生素使用时间等较多因素有关,应针对这些因素,采取措施,科学指导,加强院内感染控制管理。
Objective To investigate the incidence and influential factors of nosocomial pulmonary infection in type 2 diabetic patients with cerebral infarction and provide guidance for the development of control strategies. Methods A total of 69 patients with type 2 diabetes mellitus were enrolled in the prospective investigation. One-factor and multiple regression analysis were performed to analyze the risk factors of nosocomial pulmonary infection. Results 40 cases of nosocomial pulmonary infection occurred in patients with type 2 diabetes mellitus, the pulmonary infection rate was 57.97%. Multivariate analysis showed that age, hospitalization time, large area cerebral infarction, invasive medical behavior, duration of diabetes and antibiotic use time were all independent risk factors of nosocomial pulmonary infection (P <0.05). Conclusions The incidence of nosocomial pulmonary infection in patients with type 2 diabetes mellitus is higher and related to many factors such as age, length of hospital stay, large-area cerebral infarction, invasive medical behaviors, duration of diabetes and antibiotic use time. Take measures and scientific guidance to strengthen the control and management of nosocomial infections.