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目的探讨肝炎后肝硬化失代偿期患者合并医院感染的危险因素,以提高对肝炎后肝硬化失代偿期患者医院感染的预防干预。方法对广州医学院第一附属医院近4年收治248例肝炎后肝硬化患者相关资料进行回顾,分析医院感染与侵入性操作、患者年龄、住院天数的关系。结果 248例患者中有82例接受过各种侵入性操作,发生医院感染45例,发生率54.9%;≥60岁患者137例,发生医院感染63例,发生率46.0%;住院时间≥30 d患者122例,发生医院感染70例,发生率57.4%。结论为预防和控制肝炎后肝硬化失代偿期患者医院感染发生,应高度重视肝炎后肝硬化失代偿期患者发生医院感染的危险因素,减少侵入性护理诊疗操作,加强对进行侵入性操作、年龄≥60岁、住院时间长≥30 d患者的管理,可降低医院感染的发生。
Objective To explore the risk factors of nosocomial infection in patients with post-hepatitis cirrhosis decompensation to improve the prevention of nosocomial infection in patients with post-hepatitis cirrhosis decompensation. Methods The data of 248 patients with posthepatitic cirrhosis admitted to the First Affiliated Hospital of Guangzhou Medical College in the recent 4 years were retrospectively analyzed. The relationship between nosocomial infection and invasive procedures, patient’s age and hospitalization days were analyzed. Results Of the 248 patients, 82 had received various invasive procedures and 45 were hospital-acquired infections, with a rate of 54.9%; 137 were ≥60 years of age and 63 were hospital-acquired (46.0%); hospital stay was ≥30 days There were 122 patients with nosocomial infection in 70 cases, the incidence rate was 57.4%. Conclusion In order to prevent and control nosocomial infections in patients with decompensated liver cirrhosis, the risk factors for nosocomial infection in patients with decompensated cirrhosis after hepatitis should be attached great importance to reduce the invasive treatment and treatment, , Age ≥ 60 years old, long hospital stay ≥ 30 d management of patients, can reduce the incidence of nosocomial infections.