2型糖尿病患者医院感染相关因素
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陈青

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R181.3+2

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Related factors for infections in patients with type 2 diabetes mellitusCHEN Qing
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    摘要:

    目的研究2型糖尿病患者医院感染的相关因素,以制定相应对策,降低其感染率。方法选择2型糖尿病发生医院感染者48例(医院感染组)和同期住院未发生医院感染的2型糖尿病患者55例(对照组),比较2组患者入院时年龄、空腹血糖、糖化血红蛋白、住院时间、免疫水平、入院后侵袭性操作、抗菌药物及胰岛素泵使用情况。结果入院时医院感染组患者平均年龄(62.57±14.35)岁、空腹血糖(10.26±3.68)mmol/L、糖化血红蛋白(8.38±2.95)%、住院时间(21.38±10.77)d,均高于对照组[分别为(44.40±12.82)岁、(8.96±2.92)mmol/L、(6.73±2.57)%、(16.24±9.62)d],差异均有统计学意义(P<0.05);免疫性指标差异无统计学意义(P>0.05);医院感染组患者进行侵袭性操作率(16.67%)、使用抗菌药物种类 ≥2种比率(68.75%)均高于对照组(分别为3.64%、9.09%),对照组胰岛素泵使用率(67.27%)高于医院感染组(14.58%),差异均有统计学意义(P<0.05)。结论2型糖尿病患者医院感染可受多种因素的影响,应加强监测,针对相关因素采取综合性措施,防止其医院感染的发生。

    Abstract:

    ObjectiveTo study the related factors and appropriate strategies for infections in patients with type 2 diabetes mellitus (DM),so as to reduce nosocomial infection(NI) rate.MethodsFortyeight type 2 DM patients with NI (NI group)and 55 type 2 DM patients without NI (control group) during the same hospitalization period were selected , patients’ age at admission , fasting blood sugar, glycohemoglobin, hospital stay, immunization level, invasive procedure , antimicrobial use , and continuous subcutaneous insulin infusion in two groups were compared .ResultsPatients’ average age at admission ([62.57±14.35] years old), fasting blood sugar([10.26±3.68]mmol/L), glycohemoglobin([8.38±2.95]%), and hospital stay([21.38±10.77]days) in NI group were higher than ([44.40±12.82] years old), ([8.96±2.92] mmol/L), ([6.73±2.57]%) ,and ([16.24±9.62]days) respectively in  control group,there was significant difference between two groups(all P<0.05);Immunization levels in two groups were not statistically significant(P>0.05); invasive  procedure rate in NI group (16.67%) and ≥2 typies of antimicrobial usage rate (68.75%) in NI group  were both higher than those (3.64%,9.09%) of control group  respectively, continuous subcutaneous insulin infusion rate  in control group(67.27%) was higher than that of NI group(14.58%), the difference was significant(P<0.05).ConclusionMultiple factors can influence the occurrence of NI in type 2 DM patients, surveillance should be intensified , comprehensive strategies should be taken to prevent the occurrence of NI.

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陈青.2型糖尿病患者医院感染相关因素[J]. 中国感染控制杂志,2011,10(2):120-122.
CHEN Qing. Related factors for infections in patients with type 2 diabetes mellitusCHEN Qing[J]. Chin J Infect Control, 2011,10(2):120-122.

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  • 收稿日期:2010-09-04
  • 最后修改日期:2010-11-22
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  • 在线发布日期: 2011-03-30
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