脑卒中患者意识状况对医院感染发生及预后的影响分析

发布时间：2018-04-18 18:01

本文选题：脑卒中 + 意识状况　；参考：《中华医院感染学杂志》2017年04期

【摘要】：目的研究脑卒中患者意识状况对医院感染发生及预后的影响分析。方法选取2015年10月-2016年1月医院收治的脑卒中患者85例,按照脑卒中患者意识状态分为昏迷组33例和清醒组52例,根据患者脑卒中类型,给予相对应的治疗,并对符合医院感染的患者及时给予敏感性较高的抗菌药物治疗。结果昏迷组33例患者中有22例发生医院感染,感染率为66.67%,清醒组52例患者中有10例发生医院感染,感染率为19.23%,两组患者医院感染率比较,差异有统计学意义(P0.01);昏迷组感染患者中病原菌分布率高于清醒组患者,差异有统计学意义(P0.05);治疗前,两组受感染患者CSS评分差距较小,治疗后,两组受感染患者CSS评分均能得到降低,差异有统计学意义(P0.05),且清醒感染组患者降低的幅度优于昏迷感染组,差异有统计学意义(P0.05);清醒组感染患者的治疗有效率为90.00%,明显高于昏迷感染组45.45%,差异有统计学意义(P0.05);经过治疗后,昏迷组感染患者住院时间均达(31.20±5.60)d,住院费用也相应提高为(2.30±0.80)万元,较清醒组感染患者明显提高,差异有统计学意义(P0.05)。结论昏迷的脑卒中患者更易发生医院感染,经有效治疗后,预后较差,是临床急需解决的一大医疗问题。
[Abstract]:Objective to study the influence of consciousness status on nosocomial infection and prognosis of stroke patients.Methods from October 2015 to January 2016, 85 patients with stroke were divided into coma group (33 cases) and awake group (52 cases) according to their consciousness status. According to the type of stroke, they were given corresponding treatment.Patients with nosocomial infection were given antibiotics with high sensitivity in time.Results the nosocomial infection occurred in 22 out of 33 patients in coma group, and the nosocomial infection occurred in 10 out of 52 patients in awake group. The nosocomial infection rate was 19.23 in the two groups.The distribution rate of pathogenic bacteria in the comatose group was higher than that in the conscious group (P 0.05). Before treatment, the difference of CSS score between the two groups was small, and after treatment, there was no significant difference between the two groups.The CSS scores of the two groups were significantly lower than those of the coma group, and the difference was statistically significant (P 0.05), and the extent of the decrease in the conscious infection group was better than that in the coma infection group.The difference was statistically significant (P 0.05), the effective rate of treatment in the conscious group was 90.005, which was significantly higher than that in the comatose infection group (45.45%), and the difference was statistically significant (P 0.05). After treatment, the hospitalization time of the comatose group was 31.20 卤5.60 days, and the hospitalization cost was 2.30 卤0.80 yuan.Compared with the sobriety group, the infection patients increased significantly, the difference was statistically significant (P 0.05).Conclusion the comatose stroke patients are more prone to nosocomial infection, and the prognosis is poor after effective treatment.
【作者单位】：焦作市人民医院干部病房老年科;
【基金】：河南省指导性计划项目(201504028)
【分类号】：R743.3

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