摘要
目的探讨慢性重症肝炎及失代偿期肝硬化患者医院内感染的现状原因及防治要点。方法方便选取2018年1月—2019年4月该院收诊的60例慢性重症肝炎及失代偿期肝硬化患者,同期再择取60例一般性肝病患者,根据疾病类型不同分为观察组60例(慢性重症肝炎及失代偿期肝硬化)与对照组60例(一般性肝病),比较2组医院感染发生率,并分析观察组医院感染因素、感染类型。结果观察组医院感染发生率(15.00%)高于对照组(3.33%)且,差异有统计学意义(χ2=4.904,P<0.05),;60例慢性重症肝炎及失代偿期肝硬化患者中,女性感染例数为4例,男性感染例数为5例;年龄小于40岁者感染1例,年龄40~59岁者感染2例,年龄大于、等于60岁者感染6例;脾功能亢进合并例数为10例,其中感染例数为6例,消化道出血例数为8例,其中感染例数为6例,糖尿病合并例数为6例,其中感染例数为4例(涵盖两种疾病合并者)。9例感染者中,感染类型包括1例肠道感染、1例肺部感染、1例尿路感染、3例上呼吸道感染、3例腹腔感染。结论与一般性肝病患者比较,临床应更加重视慢性重症肝炎及失代偿期肝硬化患者医院内感染发生状况与防治措施,以保证患者的治疗安全性。
Objective To investigate the current causes and prevention and treatment of nosocomial infection in patients with chronic severe hepatitis and decompensated liver cirrhosis.Methods Convenient select sixty patients with chronic severe hepatitis and decompensated cirrhosis admitted to our hospital from January 2018 to April 2019 were enrolled.60 patients with general liver disease were selected at the same time.60 patients(chronic severe hepatitis and decompensated cirrhosis)and 60 patients in the control group(general liver disease)were compared.The incidence of nosocomial infection was compared between the two groups.The infection factors and infection types of the observation group were analyzed.Results The incidence of nosocomial infection in the observation group(15.00%)was higher than that in the control group(3.33%)and the difference was significant(χ2=4.094,P<0.05);60 patients with chronic severe hepatitis and decompensated cirrhosis The number of female infections was 4,the number of male infections was 5;the age of less than 40 years old infected 1 case,the age of 40-59 years old infected 2 cases,the age was greater than or equal to 60 years old,6 cases of infection;hypersplenism The number of cases was 10,including 6 cases of infection and 8 cases of gastrointestinal bleeding,including 6 cases of infection,6 cases of diabetes,and 4 cases of infection(including two cases of disease merger).Among the 9 infected patients.The infection types included 1 intestinal infection,1 pulmonary infection,1 urinary tract infection,and 3 cases of upper respiratory tract infection,3 cases of abdominal infection.Conclusion Compared with patients with general liver disease,the clinical should pay more attention to the occurrence and prevention measures of nosocomial infection in patients with chronic severe hepatitis and decompensated cirrhosis to ensure the safety of patients.
作者
杨庆余
YANG Qing-yu(Department of Infectious Diseases,Nanjing Gaochun People's Hospital,Nanjing,Jiangsu Province,211300 China)
出处
《中外医疗》
2019年第33期181-183,共3页
China & Foreign Medical Treatment
关键词
防治要点
现状原因
医院感染
失代偿期肝硬化
慢性重症肝炎
Prevention and treatment points
Current causes
Nosocomial infection
Decompensated cirrhosis
Chronic severe hepatitis
