老年急性上消化道出血并发感染易感因素剖析.docVIP

老年急性上消化道出血并发感染易感因素剖析 　　[摘要] 目的：探讨老年患者急性上消化道出血并发感染的易感因素及防治措施。 方法：对我院2005年5月～2010年4月收治的老年急性上消化道出血患者进行回顾性分析。结果：62例老年急性上消化道出血患者中发生感染12例，感染率为19.35%；呼吸道感染最为突出（66.67%）；重度出血患者医院感染发生率高（77.78%）；并发症多者感染发生率明显高于并发症少者（P0.01）；发生感染者平均住院天数明显高于无感染者（P0.01）。结论：出血量大、病情重、合并症多、医源性因素等是造成老年人急性上消化道出血患者并发医院感染的主要危险因素。 　　[关键词] 老年人；急性上消化道出血；感染；易感因素 　　[中图分类号] R573.2[文献标识码]Ａ [文章编号]1673-7210（2010）11（a）-031-02 　　 　　Analysis of risk factor in the elderly patients with upper gastrointestinal bleeding 　　WU Liming 　　(Wuhan Integrated Traditional Chinese Western Medicine Hospital, Wuhan 430022, China) 　　[Abstract] Objective: To investigate the relationship and the prevention of infection between infection and upper gastrointestinal bleeding in the elderly patients. Methods: The hospitalized elderly patients with upper gastrointestinal hemorrhage from May 2005 to April 2010 in our hospital were analyzed retrospectively. Results: Of 62 elderly patients with upper gastrointestinal hemorrhage, 12 cases suffered from infection and the infection rate was 19.35%, the respiratory infections were most prominent (66.67%); the patients with the specific weight bleeds, nosocomial infection incidence rate to be high (77.78%); the complication many infection formation rate was higher than complication few obviously (P0.01); on the average hospital days, the infected patients were longer than that of the patients without the infection (P0.01). Conclusion: The major risk factors of infection in the elderly patients with upper gastrointestinal bleeding include basal diseases, the volume of bleeding, serious degree of pathogenetic condition and medical source factor etc. 　　[Key words] Elderly; Upper gastrointestinal bleeding; Infection; Risk factor 　　 　　上消化道出血是老年人消化系统疾病中最常见的症状之一。老年人上消化道出血病情多较紧急，来势凶猛，尤其大量出血时，患者的一般情况较差，常并发感染，感染可影响疗效，严重感染则可以加重出血，有时甚至危及生命。为探讨老年患者急性上消化道出血并发感染的易感因素及防治措施，本文对我院近5年来收治的老年急性上消化道出血并发感染患者的情况进行回顾性分析，现报道如下： 　　1 资料与方法 　　1.1 一般资料 　　收集2005年5月～2010年4月在我院住院的62例老年急性上消化道出血患者，其中，男49例，女13例；年龄65～8