摘要
目的探讨急性心肌梗死(AMI)患者感染的主要危险因素及预后分析,为感染的防治提供指导。方法选择2008年1月-2012年12月的202例急性AMI感染患者作为观察组,并随机从同期AMI患者中选择非感染患者202例作为对照组,分析比较两组患者相关的临床资料,采用SPSS 17.0软件对研究中的统计数据进行统计分析。结果观察组AMI患者感染类型为呼吸道感染153例占75.74%、泌尿道感染23例占11.39%、胃肠道感染21例占10.40%、皮肤感染5例占2.48%;两组患者在年龄、合并高血压或糖尿病、住院时间、心力衰竭、应用抗菌药物等差异均有统计学意义(P<0.05),在性别、吸烟、意识模糊等方面的差异无统计学意义。结论年龄较大、合并高血压或糖尿病、住院时间较长、出现心力衰竭、应用抗菌药物等是急性AMI感染的主要危险因素,在合并感染时一定做好预后的护理工作,提高患者免疫力,促进患者身体康复。
OBJECTIVE To explore the major risk factor and prognostic analysis for acute myocardial infarction in patients with infections ,so as to provide reference to prevent infections .METHODS A total of 202 cases of acute myocardial infarction co-infected patients in five years from Jan .2008 to Dec .2012 were selected as the objects of observation and control group were randomly selected from the same period in acute myocardial infarction non-co-infected patients .The clinical data of two groups were compared .SPSS 17 .0 software was used for statistical a-nalysis .RESULTS The major merger infection of the observation group was respiratory tract infection ,153 cases , accounting for 75 .74% of the total number ;23 patients with urinary tract infections ,accounting for 11 .39% ;21 patients with gastrointestinal infections ,accounting for 10 .40% ;5 patients with skin infections ,accounting for 2 .48% .The difference was significant of the two group in age ,with hypertension or diabetes ,duration of hospi-talization ,heart failure ,use of antibiotics and other aspects （P＆lt; 0 .05）;the difference was not significant in gender ,smoking ,confusion and other aspects （P＆gt;0 .05） .CONCLUSION Older ,with hypertension or diabetes , longer duration of hospitalization ,heart failure ,use of antibiotics are the major risk factors for acute myocardial infarction co-infection .We must do good prognostic care work to improve immunity in patients and promote the rehabilitation of the patient′s body .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第7期1686-1687,1710,共3页
Chinese Journal of Nosocomiology
基金
杭州市科技基金资助项目(2012YSB244)
关键词
心肌梗死
患者
感染
危险因素
预后分析
Acute myocardial infarction
Co-infection
Risk factors
Prognosis analysis
