中国医学前沿杂志（电子版）2017，Vol.9Issue(7)：144-147,4.DOI:10.12037/YXQY.2017.07-12
老年中晚期宫颈癌患者放化疗期间院内感染危险因素分析
Analysis of the risk factors of nosocomial infection of elderly patients with advanced cervical cancer during radiochemotherapy
摘要
Abstract
Objective To analyze the risk factors of nosocomial infection of elderly patients with advanced cervical cancer during radiochemotherapy.Method Retrospective analyzed the clinical data of 128 cases aged more than 60 years old and the International Federation of Gynecology and Obstetrics (FIGO) stage≥Ⅲ of cervical cancer patients from January 2013 to January 2016 in our hospital. 68 patients with nosocomial infection during radiochemotherapy were included into observation group, and 60 patients without nosocomial infection were included into control group. The clinical information were analyzed to evaluate the risk factors of nosocomial infection in elderly patients with advanced cervical cancer during radiochemotherapy.Result There were 10 cases of patients with more than 2 sites of infection in observation group, the location of infection was most gastrointestinal, the other infection sites were respiratory tract, reproductive tract, urinary tract, pelvic cavity, abdominal cavity and skin. Suffered from diabetes and (or) lung disease, serum albumin level<35 g/L, white blood cell count<2×109/L, T lymphocyte were abnormal (CD3+T cells<0.5 or CD4+/CD8+T<1.4), the total number of hospitalization>6 times and total hospitalization>30 days were independent risk factors of nosocomial infection in elderly advanced cervical cancer patients during radiochemtherapy (P<0.05).Conclusion We should pay much attention to the elderly advanced cervical cancer patients during radiochemotherapy, and apply multiple methods to improve nutritional status and resistant capability, reduce the incidence rate of nosocomial infection.关键词
宫颈癌/老年患者/放化疗/院内感染Key words
Cervical cancer/Elderly patients/Radiochemtherapy/Nosocomial infection引用本文复制引用
敬敏,冯利军,李虹谕,唐艳红..老年中晚期宫颈癌患者放化疗期间院内感染危险因素分析[J].中国医学前沿杂志（电子版）,2017,9(7):144-147,4.基金项目
四川省卫生厅科研课题(30325561465) （30325561465）
