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目的:对神经内科患者医院感染情况进行调查,探讨有效的防控对策。方法:选取解放军第一一三医院2012~2013年收治的450例神经内科住院患者为对照组,对发生医院感染的病例进行分析,总结引发医院感染的危险因素,并制定相应的防控对策;选取2014~2015年收治的450例神经内科住院患者为观察组,给予医院感染防控措施,比较实施前后两组医院感染发生情况。结果:高龄、住院时间长、原发病为脑梗死、各种侵入性操作、下呼吸道感染、合并基础疾病种类多、抗生素使用不合理者医院感染发生比例高;观察组的医院感染发生率为3.78%,明显低于对照组的12.44%(P<0.01)。结论:加强神经内科医院感染危险因素的防范,可有效降低医院感染发生率。
Objective: To investigate the prevalence of nosocomial infections in neurology patients and to explore effective prevention and control measures. Methods: A total of 450 inpatients with neurology admitted to the 113th Hospital of PLA from 2012 to 2013 were selected as the control group. The cases of nosocomial infection were analyzed. The risk factors causing nosocomial infection were summarized and corresponding prevention and control measures were formulated. 450 inpatients admitted to neurology from 2014 to 2015 were selected as the observation group, nosocomial infection prevention and control measures were given, and the occurrence of nosocomial infection in both groups was compared before and after the implementation. Results: The elderly, hospitalization for a long time, the primary disease was cerebral infarction, a variety of invasive operations, lower respiratory tract infection, multiple types of underlying diseases, unreasonable use of antibiotics, a high incidence of hospital infections; the incidence of nosocomial infections in the observation group was 3.78%, which was significantly lower than that of the control group (12.44%, P <0.01). Conclusion: To prevent the risk factors of nosocomial infection in neurology can effectively reduce the incidence of nosocomial infections.