普外科糖尿病患者感染的危险因素及预防对策

摘要

目的 研究普外科糖尿病患者感染的危险因素,同时对这些危险因素的预防对策进行分析. 方法 从1000名普外科患者中,选取90名普外科糖尿病患者,将这90名患者依照感染与否,分为两组,运用单因素以及多因素回归分析方法展开研究. 结果 1000名患者有67名患者感染,感染率为6.7%,其中90名普外科糖尿病患者中,有17名患者感染,感染率达到18.9%,而910名普外科患者中有50名患者感染,感染率为5.9%,差异有统计学意义(P<0.05);普外科糖尿病患者与普外科患者相比,比较两者的感染部位,差异无统计学意义(P>0.05);单因素分析,患者年龄达到或者超过60周岁、患有糖尿病已经达到或者超过了5年、长时间卧床、空腹血糖、长时间的应用抗生素因素、侵入式操作与普外科糖尿病患者感染有一定的关系;多因素分析表明,患者年龄者达到或超过60周岁、患者患有糖尿病的时间达到或超过5年、长时间的住院与卧床是普外科糖尿病患者出现感染的危险因素,差异有统计学意义(P<0.05).结论 患者年龄者达到或超过60周岁、患者患有糖尿病的时间达到或超过5年、长时间的住院与卧床会引起普外科糖尿病患者感染,临床实践中,定要加以预防.%Objective To study the risk factors of infection in diabetic patients in department of general surgery and analyze the corresponding preventive measures of these risk factors. Methods Of the 1000 patients in department of general surgery, 90 patients with diabetes mellitus were selected. And the 90 patients were divided into two groups in accordance with whether they had infections. Univariate and multivariate logistic regression analysis methods were used for the study. Results Of the 1000 patients, 67 patients had infection, the infection rate was 6.7%, of the 90 diabetic patients in department of general surgery, 17 patients had infection, the infection rate was 18.9%, of the 910 patients in department of general surgery, 50 patients had infection, the infection rate was 5.9%, the difference was statistically significant (P<0.05). The dif-ference in the site of infection between the patients with diabetes and those without diabetes in department of general surgery was not statistically significant(P>0.05). The result of univariate logistic regression analysis showed that 60 years old or more, the duration of diabetes reaching 5 years or more, long time sickbed, fasting blood glucose level, long time use of antibiotics, and invasive operation were related to the incidence of infection in diabetic patients in department of general surgery. The result of multivariate logistic regression analysis showed that 60 years old or more, the duration of diabetes reaching 5 years or more, long time hospitalization and sickbed were the risk factors of infection in diabetic patients in de-partment of general surgery, the difference was statistically significant(P<0.05). Conclusion 60 years old or more, the dura-tion of diabetes reaching 5 years or more, long time hospitalization and sickbed can cause the infection in diabetic patients in department of general surgery, which should be prevented in the clinical practice.