04病危患者在急诊抢救中发生医院感染的临床分析.docVIP

病危患者在急诊抢救中发生医院感染的临床分析 【摘要】目的 分析病危患者在急诊抢救中发生医院感染的临床因素。 方法 调取本院留存的813例病危患者急诊抢救资料进行回顾性分析，且所有患者在送诊时均未发现感染现象。根据是否发生医院感染，将患者分为未染组和感染组，其中未染组患者631例，感染组患者182例，对患者抢救过程中可能导致医院感染的相关性因素进行分析总结，研究导致病危患者在急诊抢救过程中发生医院感染的临床相关性因素。使用SAS9.4软件进行单因素和因素非条件logistic逐步回归分析。结果 logistic逐步回归分析结果表明大量失血、严重基础疾病、意识障碍、呼吸道、尿道、消化道等管理不善以及多方面的医源性因素是导致病危患者在急诊抢救过程中发生医院感染的临床高危因素。结论 针对导致病危患者在急诊抢救中发生医院感染的临床因素分析结果，应在急诊抢救中指定相应的应对措施，降低医院感染的发生概率，提高病危患者的存活率。 【关键词】病危患者；急诊抢救；医院感染；logistic逐步回归分析 Clinical analysis of nosocomial infection in critically ill patients in emergency [Abstract] Objective Analysis of clinical factors of nosocomial infection in critically ill patients in the emergency rescue.Method Retained in the hospital transfer of 813 cases of critically ill patients in emergency data were retrospectively analyzed and all patients at time of referral were not found infection. According to whether the incidence of hospital infection. The patients were divided into non infection group and infection group, which did not stain group 631 cases, 182 cases of patients with infection, for saving the patients may lead to hospital infection related factors were analyzed, study the cause of critically ill patients in the emergency rescue in the process of occurrence of nosocomial infection in the clinical correlation factors. Use software SAS9.4 univariate analysis and non conditional logistic stepwise regression analysis.Result Stepwise logistic regression analysis results show that the massive loss of blood, severe basic diseases, disturbance of consciousness, respiratory tract, urinary tract, gastrointestinal tract and other management poor and iatrogenic factors is to critically ill patients in emergency rescue process occurs the clinical risk factors for nosocomial infection.Conclusion According to the causes of critically ill patients in emergency occurred nosocomial infection in clinical factors analysis results, should be in the emergency rescue in specified corresponding measures, reduce the probability of oc