慢性阻塞性肺疾病患者医院感染的危险因素分析

目的分析慢性阻塞性肺疾病患者医院感染的危险因素。方法对2004年1月至2007年12月出院的1309例慢性阻塞性肺疾病患者的资料进行分析。结果发生医院感染117例，医院感染率8．94％，其中呼吸道感染70例、消化道感染25例、泌尿道感染10例、血流感染2例、其他10例。医院感染与患者使用有创呼吸机、伴随多种基础疾病、住院时间长、营养不良、留置胃管、长时间使用激素有关。结论慢性阻塞性肺疾病患者发生医院感染的因素较多，需针对多种危险因素及时采取有效防治措施，减少医院感染发生率。

Analysis on risk factors of nosocomial infection for patients with chronic obstructive pulmonary disease

Objective To analyze the risk factors of nosocomial infection for patients with chronic obstructive pulmonary disease. Method Analysis on the information of 1 309 discharged patients with chronic obstructive pulmonary disease during Jan. 2004 to Dec. 2007. Result There are 117 cases of nosocomial infection （8. 94%）, including 70 cases of respiratory tract infection, 25 cases of digestive tract infection, 10 cases of urinary tract infection,2 cases of blood infection and 10 cases of others. Nosocomial infection is related to invasive respirator, followed by some kinds of basic diseases, long time hospitalization, malnutrition, indwelling gastric tube and use of hormone. Conclusion There are many factors related to nosoeomial infection for patients with chronic obstructive pulmonary disease. Preventing measures aiming at risk factors should be taken to reduce the incidence of nosocomial infection.