摘要
目的探讨老年肺癌患者并发医院感染的相关因素,以利于合理防治。方法回顾性调查老年肺癌住院患者,对68例并发医院感染病例(实验组)与215例未并发医院感染病例(对照组)进行比较分析。结果肿瘤自身因素组间比较显示,肺癌临床分期(χ2=14.883,P=0.001)、病理分型(χ2=34.217,P=0.000)、发病部位(χ2=15.288,P=0.000)与并发医院感染差异有统计学意义(P<0.01);单因素及多因素Logistic逐步回归分析显示,体力状况评分、抗菌药物使用、住院天数、血清白蛋白水平对并发医院感染的影响差异有统计学意义(P<0.05)。结论加强老年肺癌患者医院感染的监控,针对危险因素重视早期预防和治疗。
OBJECTIVE To investigate the risk factors of nosocomial infection in elderly lung cancer inpatients, to determine reasonable protective and therapeutic measures. METHODS Sixty-eight nosocomial infection cases and 215 non-nosocomial infection cases in elderly lung cancer inpatients were analyzed retrospectively. RESULTS The data of the TNM stage （χ^2=14. 883, P= 0. 001）, pathologic type （χ^2=34. 217, P= 0. 000） and pathogenic site （χ^2= 15. 288, P= 0. 000） showed significant differences. By Logistic regression analysis, ECOG, antimicrobial treatment, hospitalization and hypoproteinemia showed significant differences （P〈 0. 05）. CONCLUSIONS We should strengthen the surveillance to control nosocomial infection in elderly lung cancer inpatients. Early diagnosis and treatment should pay attenction to the risk factors.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2009年第8期903-905,共3页
Chinese Journal of Nosocomiology
关键词
肺癌
老年
医院感染
相关因素
Lung cancer, Elderly
Nosocomial infection
Correlated factors
