摘要
目的探讨影响老年危重症患者中心静脉导管相关性感染发生的危险因素。方法回顾性分析医院160例老年危重症患者的临床资料,对可能影响中心静脉导管相关性感染发生的因素进行多因素非条件logistic回归分析。结果160例老年危重症患者中,发生中心静脉导管相关性感染57例,发生率35.6%;老年危重症患者中心静脉导管相关性感染的发生与年龄、APACHEⅡ评分、导管留置部位、导管腔数、是否有静脉营养操作、导管留置时间及是否存在其他部位感染有密切关系(P<0.05或P<0.01);logistic回归结果发现APACHⅡ评分、有静脉营养操作、导管留置时间、存在其他部位感染是影响老年危重症患者中心静脉导管相关性感染发生的独立危险因素。结论针对老年危重症患者中心静脉导管相关性感染发生的独立危险因素,及时制定预防方案,积极处理,减少感染的发生,以改善患者的预后。
OBJECTIVE To study the related risk factors of central venous catheter-related infection in the elderly patient with critical diseases.METHODS A total of 160 elderly patients with critical diseases were retrospectively analyzed.Multiple factor non-conditional logistic regression analysis was performed for the related factors that may lead to the central venous catheter-related infections.RESULTS The incidence of central venous catheter infections in 160 elderly patients with critical diseases was 35.6%（57 cases）.The incidence of central venous catheter infections was mainly related to the age,APACHEII score,the site of indwelling catheter,the number of catheter cavity,intravenousalimentation treatment,the duration of indwelling catheterization and coexistence with other site infections（P0.05 or 0.01）;logistic regression analysis revealed that APACHEⅡ score,intravenousalimentation treatment,the duration of indwelling catheter,and coexistence with other site infections were the independent risk factors for the central venous catheter-related infections in the elderly patients with critical diseases.CONCLUSION It is necessary to develop the prevention programs and actively treat and reduce the incidence of infections in accordance with the independent risk factors for the central venous catheter-related infections in the elderly patients with critical disease so as to improve the patients′ prognosis.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第19期4220-4222,共3页
Chinese Journal of Nosocomiology
关键词
危重症
老年
中心静脉导管
感染
因素
Critical diseases
Elderly
Central venous catheter
Infection
Factor
