肾移植术后康复期医院感染危险因素分析

目的探讨肾移植术后康复期医院感染的危险因素并提出防范对策。方法对１７８例肾移植术后康复期患者的临床资料进行回顾性调查。结果排斥反应、白细胞减少、低白蛋白血症、ＣＳＡ中毒、肝功能受损和陪护感染为本组病例医院感染的高度危险因素（Ｐ＜０．０１），住院时间长、贫血、血糖高、ＩｇＧ下降、病室空气污染和曾应用抗生素是医院感染的危险因素（Ｐ＜０．０５）。结论针对危险因素、采取切实有效的防范措施、以降低肾移植术后的医院感染发生率。

Analysis on Risk Factors of Nosocomial Infections of Renal Transplant Recipients in the Convalescence

Objective To investigate the risk factors of nosocomial infections of renal transplant recipients and to suggest the preventive measures in the convalescence after renal transplantation.Method The clinical data of 178 patients who had undergone renal transplant were investigated retrospectively.Results The high risk factors of nosocomial infections in this group included rejection,leucocytopenia,hypoalbuninemia,cyclos porin A(CsA) poisoning,hepatic dysfunction and infections of nursing family members( P <0.01).The risk factors were also involved in long term hospitalization,anemia,hyperglycemia,air microbial pollution of the wards and antibiotics had be used( P <0.05).Conclusions In order to reduse the incidence of nosocomial infections of renal transplant recipients,we should take effctive prophylactic measures controlling the risk factors.