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目的探讨糖尿病（ＤＭ）合并急性脑血管病（ＡＣＶＤ）患者医院感染（ＮＩ）的控制。方法对１９９３年１月～１９９７年 １０月住院 ＤＭ合并 ＡＣＶＤ患者的 ＮＩ资料进行回顾性分析。结果医院感染率（ＮＩＲ）为 ３２． ８％，显著高于普通 ＤＭ和 ＡＣＶＤ的 ＮＩＲ ２１． ４％和 １６％。呼吸道感染占首位 ６６． ６６％，其次是尿路和肠道感染。除了普通 ＡＣＶＤ的意识、肢体运动，大、小便障碍以及长期卧床、各种插管多外，高血糖是重要易感因素，ＤＭ慢性并发症也有一定影响。结论加强此特定人群的血糖控制，是防治ＮＩ的关键问题。
Objective To investigate the control of nosocomial infection (NI) in patients with diabetes mellitus (DM) complicated with acute cerebral vascular disease (ACVD). Methods Retrospective analysis of NI data of hospitalized DM with ACVD from January 1993 to October 1997 was performed. Results The hospital infection rate (NIR) was 32. 8%, significantly higher than the NIR 21 of normal DM and ACVD. 4% and 16%. Respiratory infections top 66. 66%, followed by urinary tract and intestinal infections. In addition to the common ACVD awareness, limb movement, large, urinary disorders and prolonged bed rest, a variety of intubation, hyperglycemia is an important predisposing factor, DM chronic complications also have a certain impact. Conclusion Strengthening blood glucose control in this specific population is a key issue in the prevention and control of NI.