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目的对神经内科住院患者感染的临床特点进行观察,并探讨分析感染危险因素。方法 102例住院期间出现感染神经内科患者作为观察组,同期收治的102例住院期间未出现感染患者作为参考组,分析观察组患者感染特点,比较分析两组患者临床资料,对感染发生的危险因素进行比较分析。结果呼吸道感染、泌尿系统感染、皮肤及黏膜感染是主要的感染部位,其中呼吸道感染发生率为53.9%,明显大于其他部位感染率(P<0.05);观察组高龄、意识昏迷、住院时间>10 d、抗生素使用时间>7 d、次数>2次、侵入性操作及合并慢性基础病等患者明显多于参考组(P<0.05)。结论患者感染主要集中在呼吸道、泌尿道、皮肤黏膜等部位,发生率较高,高龄、侵入性操作、抗生素使用不当、合并基础性疾病等均是导致患者发生的危险因素,针对危险因素给予加强护理干预,严格控制抗生素使用,减少侵入性操作对于降低患者院内感染危险因素有着重要作用。
Objective To observe the clinical features of inpatients with neurology inpatients and to analyze the risk factors of infection. Methods A total of 102 patients with neurology in hospital during the period of inpatients were included in the study. 102 patients without infection during hospitalization were selected as reference group. The characteristics of infection in observation group were analyzed. Clinical data of two groups were compared and analyzed. Risk factors For comparative analysis. Results The respiratory tract infections, urinary tract infections, skin and mucosal infections were the main sites of infection. The incidence of respiratory infections was 53.9%, significantly higher than that of other sites (P <0.05). The observation group was older, unconscious and hospitalized> 10 d, antibiotic use time> 7 d, the number of> 2 times, invasive operation and chronic basic diseases were significantly more than the reference group (P <0.05). Conclusion Infection of patients is mainly concentrated in the respiratory tract, urinary tract, mucous membrane and other parts of the skin, with a high incidence, advanced age, invasive procedures, improper use of antibiotics, combined with basic diseases are the risk factors leading to the occurrence of patients, given to strengthen the risk factors Nursing interventions, strict control of antibiotic use, and reduction of invasive procedures have a significant role in reducing the risk of nosocomial infections in patients.