高血压脑出血患者泌尿系感染的危险因素分析及预防措施效果评估

发布时间：2018-03-15 04:31

本文选题：高血压　切入点：脑出血　出处：《中华医院感染学杂志》2017年17期 　论文类型：期刊论文

【摘要】：目的探究脑出血患者发生泌尿系感染的危险因素,并对预防措施进行评估。方法选取2016年1-8月医院收治的240例高血压脑出血患者,随机分为预防组和对照组,每组各120例,对照组患者给予常规治疗,预防组在对照组的基础上进行耐力训练及定时定量饮水;比较两组患者的感染率,并对预防效果作出评价;收集所有患者的临床病例资料,采用单因素分析及多因素logistic线性回归方法分析感染的危险因素。结果 240例患者共发生泌尿系感染52例,感染率为21.7%,其中预防组患者泌尿系感染率为12.5%,对照组感染率为30.8%,两组比较差异有统计学意义(P0.05);单因素分析结果显示,老年、女性、留置尿管、缺少会阴消毒的患者相对而言更容易出现泌尿系感染,差异有统计学意义(P0.05);将上述变量引入logistic回归模型进行多因素分析,结果显示,老年、女性、留置尿管为高血压脑出血患者泌尿系感染的独立危险因素。结论老年、女性、留置尿管,是高血压脑出血患者恢复期发生泌尿系感染的危险因素,临床工作中应该针对上述高危因素患者加强预防措施,降低感染率;耐力训练加定时饮水对预防泌尿系感染有一定作用,临床可以使用该方法预防感染。
[Abstract]:Objective to investigate the risk factors of urinary tract infection in patients with intracerebral hemorrhage and to evaluate the preventive measures. Methods 240 patients with hypertensive intracerebral hemorrhage admitted in our hospital from 2016 to August were randomly divided into prevention group and control group with 120 cases in each group. The patients in the control group were given routine treatment, and the prevention group received endurance training and regular drinking water on the basis of the control group; the infection rate of the two groups was compared and the preventive effect was evaluated; the clinical case data of all the patients were collected. Single factor analysis and multivariate logistic linear regression were used to analyze the risk factors of infection. The infection rate in the prevention group was 12.5, the infection rate in the control group was 30.8, the difference between the two groups was statistically significant (P 0.05). Patients without perineum disinfection were more likely to develop urinary tract infection than those without perineum disinfection, and the difference was statistically significant (P 0.05). The results showed that the above variables were introduced into the logistic regression model for multivariate analysis. Indwelling catheter is an independent risk factor for urinary tract infection in patients with hypertensive intracerebral hemorrhage. Conclusion the elderly, female and indwelling catheter are the risk factors of urinary tract infection in patients with hypertensive intracerebral hemorrhage. In clinical work, preventive measures should be strengthened for the patients with the above high risk factors to reduce the infection rate, endurance training and regular drinking water have certain effect on the prevention of urinary tract infection, and this method can be used clinically to prevent infection.
【作者单位】：四川省医学科学院
【基金】：四川省卫生厅基金资助项目(100541)
【分类号】：R691.3;R743.34

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