脑梗死患者医院感染的危险因素分析

发布时间：2018-06-13 14:04

本文选题：脑梗死 + 患者　；参考：《中华医院感染学杂志》2014年06期

【摘要】：目的探讨脑梗死患者医院感染的危险因素及相应的预防对策,为早期预防和控制脑梗死患者医院感染提供科学依据。方法回顾性分析2011年11月-2013年11月医院收治的1 360例脑梗死患者的临床资料,将62例脑梗死医院感染的患者为研究组,并随机选择同期无医院感染的62例脑梗死患者为对照组,比较两组患者的一般资料,分析医院感染的危险因素,提出相应的预防对策,所有数据采用SPSS11.0软件进行统计分析。结果 1 360例患者发生医院感染62例,感染率4.56%;感染部位以呼吸道感染为主33例占53.23%,包括上呼吸道感染5例和下呼吸道感染28例,其次为泌尿道、胃肠道、皮肤软组织、口腔和血液感染,分别占20.97%、12.90%、4.84%、4.84%和3.22%;医院感染的危险因素有年龄、合并基础疾病、住院时间、意识障碍、抗菌药物的滥用、留置导尿管及胃管、机械通气等,两组患者相比差异有统计学意义(P0.05)。结论脑梗死患者医院感染与患者高龄、住院时间的延长、存在意识障碍、医院感染前抗菌药物的滥用及侵入性操作等有关,针对这些高危因素给予相应的预防对策,可有效降低脑梗死患者医院感染的发生率。
[Abstract]:Objective to explore the risk factors of nosocomial infection in patients with cerebral infarction and to provide scientific basis for early prevention and control of nosocomial infection in patients with cerebral infarction. Methods the clinical data of 1 360 patients with cerebral infarction admitted in our hospital from November 2011 to November 2013 were retrospectively analyzed. 62 patients with nosocomial infection of cerebral infarction were selected as study group and 62 patients without hospital infection as control group. The general data of the two groups were compared, the risk factors of nosocomial infection were analyzed, and the corresponding preventive measures were put forward. All the data were statistically analyzed by SPSS 11.0 software. Results there were 62 cases of nosocomial infection (4.56%) and 33 cases of respiratory tract infection (53.23%), including 5 cases of upper respiratory tract infection and 28 cases of lower respiratory tract infection, followed by urinary tract, gastrointestinal tract, skin and soft tissue. Oral and blood infections accounted for 20.97% and 3.22%, respectively. The risk factors for nosocomial infection were age, combined with basic diseases, length of stay, disturbance of consciousness, abuse of antimicrobial agents, indwelling catheter and stomach tube, mechanical ventilation, etc. The difference between the two groups was statistically significant (P 0.05). Conclusion Nosocomial infection in patients with cerebral infarction is related to elderly patients, prolonged hospital stay, disturbance of consciousness, abuse of antimicrobial agents before nosocomial infection and invasive operation. It can effectively reduce the incidence of nosocomial infection in patients with cerebral infarction.
【作者单位】：舟山医院神经内科;舟山医院感染科;浙江大学医学院附属第二医院脑外科;
【基金】：浙江省自然科学基金资助项目(BK2010157)
【分类号】：R181.32

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