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目的 了解脑卒中患者中发生医院内感染与其它疾病住院病人有无明显的差异 ,以及该组发生医院内感染的相关因素。方法 对 10 79例脑卒中病人资料进行整理并作回顾性比较分析发生医院内感染。结果 10 79例脑卒中 ,392例发生医院内感染 ,感染率为 36 33% ,感染组病死率为2 7 81% (10 9/ 392 )。医院内感染部位以下呼吸道为主 ,其中脑出血组医院内感染率 (70 46 % )明显高于脑梗死组 (2 6 72 % ) ,老年组医院内感染率 (5 4 0 0 % )明显高于非老年组 (2 2 1% ) ;医院内感染的相关因素包括住院天数、广谱抗生素的使用、侵袭性操作等。结论 脑卒中患者医院内感染率明显高于其它疾病的医院内感染率 ,其发生与医院内某些危险因素有关 ,并严重影响脑卒中患者的预后。
Objective To find out whether there is any significant difference between inpatients with hospital infection and other diseases in stroke patients and the related factors of nosocomial infection in this group. Methods The data of 10 79 stroke patients were collected and retrospectively analyzed for nosocomial infection. Results A total of 10 79 cases of stroke and 392 cases of nosocomial infection were found. The infection rate was 36.33%, and the infection rate was 27.17% (109/392). The following respiratory tract was the main site of infection in the hospital. The infection rate in the hospital among cerebral hemorrhage group (70 46%) was significantly higher than that of cerebral infarction group (26 72%), and the hospital infection rate (5400%) in the elderly group was significantly higher In the non-elderly group (21%), the related factors of nosocomial infection included days of hospitalization, the use of broad-spectrum antibiotics, invasive procedures and so on. Conclusions The rate of nosocomial infection in stroke patients is significantly higher than that in other nosocomial infections, which is related to some risk factors in hospital and seriously affects the prognosis of patients with stroke.