大面积烫伤伴肺炎克雷伯菌感染的影响因素分析

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[摘 要]目的 探讨大面积烫伤伴肺炎克雷伯菌感染的情况及其影响因素。方法 选取2020年4月-2023年8月安康市人民医院诊治的120例大面积烫伤患者作为研究对象，根据病原菌检测结果分为肺炎克雷伯菌组和对照组，采用单因素及多因素分析大面积烫伤伴肺炎克雷伯菌感染患者的发生因素。结果 120例患者中肺炎克雷伯菌感染15例，占比12.50%；单因素分析显示，肺炎克雷伯菌组年龄、糖尿病、ICU住院时间、气管插入、使用免疫抑制剂与对照组比较，差异有统计学意义（P

[关键词] 大面积烫伤；肺炎克雷伯菌感染；糖尿病；免疫抑制剂

[中图分类号] R644 [文献标识码] A [文章编号] 1004-4949（2024）06-0028-04

Analysis of Influencing Factors of Large Area Scald with Klebsiella Pneumoniae Infection

YE Shao-ying， ZHAO Rui

（Ankang People’s Hospital， Ankang 725000， Shaanxi， China）

[Abstract]Objective To investigate the situation and influencing factors of large area scald with Klebsiella pneumoniae infection. Methods A total of 120 patients with large area scald diagnosed and treated in Ankang People’s Hospital from Apr.2020 to Aug.2023 were selected as the research objects. According to the results of pathogen detection， they were divided into Klebsiella pneumoniae group and control group. Univariate and multivariate analysis were used to analyze the occurrence factors of large area scald with Klebsiella pneumoniae infection. Results There were 15 cases of Klebsiella pneumoniae infection in 120 patients， accounting for 12.50%； univariate analysis showed that there were significant differences in age， diabetes mellitus， ICU hospitalization time， tracheal insertion， and use of immunosuppressive agents between the Klebsiella pneumoniae group and the control group （P

[Key words] Large area scald； Klebsiella pneumoniae infection； Diabetes mellitus； Immunosuppressive agents

燙伤（scald）指的是因为皮肤和火焰、水蒸气等高温物之间接触导致的伤害，大面积烫伤可表现为皮肤坏死性与削落，容易引发感染[1，2]。（剩余5404字）