摘要
目的分析癌症患者放疗后医院感染的影响因素,为预防放疗后医院感染提供依据。方法选择2012年8月-2015年2月医院960例癌症放疗患者临床资料,分析发生医院感染的相关影响因素,并采用SPSS 15.0软件对数据进行统计分析。结果 960例癌症放疗患者发生医院感染62例,感染率为6.46%;感染部位以呼吸道为主占53.22%;骨髓抑制程度为Ⅳ级的感染率最高29.03%;年龄≥60岁、营养状况不良、病期为Ⅳ期、住院时间≥30d、有侵入性操作、行放疗+化疗治疗方式、使用抗菌药物的患者医院感染率,高于同组的其他数据,差异均有统计学意义(P<0.05)。结论癌症放疗后患者发生医院感染的危险因素较多,应做好相应的预防与控制措施,以降低医院感染发生率。
OBJECTIVE To analyze influencing factors of nosocomial infections in cancer patients after undergoing radiotherapy so as to provide the basis for the prevention of nosocomial infections after radiotherapy .METHODS From Aug .2012 to Feb .2015 ,960 cases of cancer patients who received radiotherapy were chosen as study ob‐jects .Their clinical data were analyzed to find out the hospital infection related factors .SPSS 15 .0 was adopted for statistical analysis .RESULTS Among 960 cases of cancer patients with radiotherapy ,62 cases were found to appear hospital infections ,accounting for 6 .46% .Respiratory tract was the main infected site ,accounting for 53 .22% .Patients with myelosuppression grade of Ⅳ got the highest infection rate of 29 .03% .Age greater than or equal to 60 years old ,poor nutrition ,stage Ⅳ ,hospitalization stay longer than or equal to 30 days ,invasive op‐eration ,radiotherapy ＋ chemotherapy ,the use of antimicrobial agents were found to be risk factors for nosocomi‐al infections and the differences were significant （P〈0 .05） .CONCLUSION A lot of risk factors can cause infec‐tions in cancer patients after radiotherapy .Hence the prevention and control measures should be taken correspond‐ingly to decrease the hospital infection rate .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第20期4699-4700,4714,共3页
Chinese Journal of Nosocomiology
基金
杭州市萧山区科技计划基金资助项目(2013309)
关键词
癌症
放疗
医院感染
预防治疗
Cancer
Radiotherapy
Hospital infection
Prevention measures
