论文部分内容阅读
目的分析医院脑出血患者医院感染的相关因素,探讨其相关的预防措施,降低感染率。方法回顾性分析医院神经内科2010年1月-2011年12月收治的脑出血患者病历资料604例,统计分析脑出血患者医院感染的危险因素。结果 604例脑出血患者中共有82例发生医院感染,医院感染的发生率为13.6%,其中感染部位主要以呼吸道和泌尿道为主,分别占54.9%和22.0%,其次为胃肠道和皮肤,分别占所有感染的13.4%和6.1%;单因素分析显示,年龄>65岁、住院时间>21d、有意识障碍和侵入性医疗操作的患者具有较高的医院感染率(P<0.05)。结论脑出血患者医院感染率高,年龄、住院时间、有无意识障碍和侵入性医疗操作是其医院感染的高危因素。
Objective To analyze the related factors of nosocomial infection in patients with cerebral hemorrhage and to explore the related preventive measures to reduce the infection rate. Methods A retrospective analysis of 604 cases of cerebral hemorrhage patients admitted from January 2010 to December 2011 in Department of Neurology was conducted. The risk factors of nosocomial infection in patients with cerebral hemorrhage were statistically analyzed. Results A total of 82 cases of cerebral hemorrhage occurred in 604 patients with nosocomial infection and the incidence of nosocomial infection was 13.6%. The main infection areas were respiratory tract and urinary tract, accounting for 54.9% and 22.0% respectively, followed by gastrointestinal tract and skin , Accounting for 13.4% and 6.1% of all infections respectively. Univariate analysis showed that patients aged> 65 years and hospitalized for> 21 days had higher rates of nosocomial infection (P <0.05) in patients with unconsciousness and invasive medical procedures. Conclusion The high infection rate, age, hospitalization time, unconsciousness and invasive medical procedure in patients with ICH are the high risk factors of nosocomial infection.