脑卒中患者尿路感染的临床分析

发布时间：2018-12-24 07:28

【摘要】：目的探讨老年脑卒中住院患者合并尿路感染的临床情况及相关因素,为临床诊治提供参考依据。方法选取2012年12月-2014年1月老年脑卒中住院患者344例,分析感染发生率、病原菌分布及影响感染的相关因素,采用SPSS 13.0软件进行统计分析。结果 344例患者中有79例患者发生尿路感染,感染率为22.97%;共分离出104株病原菌,其中革兰阴性菌64株占61.5%,革兰阳性菌40株占38.5%,其中大肠埃希菌与金黄色葡萄球菌居多,分别占37.50%、25.96%;年龄≥60岁、住院时间4周、多种抗菌药物联合使用、侵入性诊疗、留置导尿管、低蛋白血症、Brunstrom 4~6分级均是发生尿路感染的危险因素(P0.05)。结论老年脑卒中住院患者合并尿路感染发生率较高,影响因素较多,在有效控制相关因素基础上,应选择针对性抗感染治疗。
[Abstract]:Objective to investigate the clinical situation and related factors of senile stroke patients with urinary tract infection, and to provide reference for clinical diagnosis and treatment. Methods 344 senile stroke inpatients from December 2012 to January 2014 were selected to analyze the incidence of infection, the distribution of pathogenic bacteria and the related factors affecting infection. The statistical analysis was carried out by SPSS 13.0 software. Results among 344 patients, 79 cases had urinary tract infection, the infection rate was 22.97%. 104 strains of pathogenic bacteria were isolated, of which 64 strains were Gram-negative bacteria (61.5%) and 40 Gram-positive bacteria (38.5%). Among them, Escherichia coli and Staphylococcus aureus were the most common, accounting for 37.50% 25.96% respectively. Age 鈮，

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