肝硬化合并医院感染的相关因素及护理对策

目的：探讨肝硬化合并医院感染的的相关因素及护理对策。方法：选择2007年6月～2011年6月肝硬化合并医院感染的患者80例作为观察组，选择肝硬化患者未合并医院感染的80例作为对照组，对两组可能引起医院感染有关的因素进行比较。结果：80例医院感染包括自发性细菌性腹膜炎26例，呼吸系统感染22例，消化系统感染22例，其他10例；症状、体征或腹水检验多不典型，常表现为乏力、纳差加重、低热、黄疽加深、腹水增加等。观察组年龄大、Child—Pugh分级差、侵袭性操作及并存症多、预防应用抗生素比例高、住院时间长等均为医院感染因素，与对照组比较，差异均有统计学意义（均P〈0．05）。结论：肝硬化并发医院感染肝硬化合并医院感染发生率高，护理中应密切观察病情；积极治疗基础疾病；对老年患者实施营养支持；尽量避免或减少不必要的侵袭性诊疗操作，严格执行无菌操作，合理使用抗生素，尽量缩短住院时间。

The factors and nursing countermeasures of hepatocirrhosis with hospital infection

Objective:To explore the factors and nursing countermeasures of hepatocirrhosis with hospital infection.Methods:80 patients with hepatocirrhosis with hospital infection were selected as observation group from June 2007 to June 2011.80 patients with hepatocirrhosis unincorporated of hospital infection were selected as control group;the hospital infection factors of two groups were compared.Results:80 cases of hospital infection included 26 cases with spontaneous bacterial peritonitis,22 cases with respirator...