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目的探讨急性脑梗死住院患者发生医院感染的相关因素分析及干预,为临床预防及治疗提供参考依据。方法选取2013年6月-2015年12月于医院神经内科收治的急性脑梗死患者315例,分析感染患者病原菌分布和感染因素。结果 315例急性脑梗死住院患者,感染85例,感染率26.98%;共检出病原菌85株,以革兰阳性菌为主,共48株占56.47%;多因素logistic回归分析显示,患者年龄大、合并糖尿病、低蛋白血症、住院时间>30d是医院感染的独立危险因素(P<0.05)。结论急性脑梗死住院患者医院感染率较高,与高龄、合并糖尿病、低蛋白血症、住院时间>30d呈正相关。
Objective To investigate the related factors and intervention of nosocomial infection in hospitalized patients with acute cerebral infarction and provide reference for clinical prevention and treatment. Methods A total of 315 acute cerebral infarction patients admitted to the hospital from June 2013 to December 2015 were enrolled in this study. Pathogenic bacteria distribution and infection factors were analyzed. Results A total of 315 hospitalized patients with acute cerebral infarction were infected with 85 cases and the infection rate was 26.98%. A total of 85 pathogenic bacteria were detected, of which, Gram-positive bacteria were the main pathogenic bacteria. A total of 48 strains accounted for 56.47%. Multivariate logistic regression analysis showed that patients were older , Combined with diabetes mellitus, hypoproteinemia, hospitalization> 30d was an independent risk factor for nosocomial infection (P <0.05). Conclusions The hospital infection rate of hospitalized patients with acute cerebral infarction is high, which is positively correlated with age, diabetes mellitus, hypoproteinemia, hospitalization time> 30d.