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目的通过对医院脑卒中患者医院感染不同部位进行前瞻性目标监测,分析患者不同感染部位的医院感染所造成的经济损失,为卫生决策部门制定相关政策提供依据。方法采用整群抽样的方法,抽取医院2012年1月1日-2013年12月31日神经内科病房的552例脑卒中患者为研究对象,将发生医院感染的123例患者作为病例组,同期未发生感染的429例患者为对照组,比较两组患者住院费用的差异,采用SPSS17.0进行统计分析。结果 552例脑卒中患者感染123例、133例次,感染率为22.28%、例次感染率24.09%;多部位感染患者住院费用增加的最多,相比对照组患者住院费用中位数差值为6 766.88元;下呼吸道感染的患者住院费用中位数差值为3 234.46元;上呼吸道感染的患者住院费用中位数差值为3 192.15元,泌尿道感染的的患者住院费用中位数差值为2 495.07元。结论不同医院感染部位导致脑卒中患者住院费用不同程度的增加,加强对脑卒中患者不同部位的医院感染控制力度,及时采取预防措施,可降低住院费用、减轻经济负担、避免医疗资源浪费。
Objective To monitor the prospective targets of nosocomial infections of stroke patients in hospitals and analyze the economic losses caused by nosocomial infections in different infected sites of patients and provide the basis for the formulation of relevant policies by health decision-making departments. Methods A total of 552 stroke patients in the neurology ward of the hospital from January 1, 2012 to December 31, 2013 were enrolled in the study. 123 patients with nosocomial infection were selected as the case group. 429 cases of infection in the control group, compared the difference between the two groups of hospitalized patients, using SPSS17.0 for statistical analysis. Results Among the 552 stroke patients, 123 cases were infected with 133 cases, the infection rate was 22.28% and the infection rate was 24.09%. The most significant increase in hospitalization expense was in multi-infection patients, and the median hospitalization expense was 6 766.88 yuan; lower respiratory tract infection in patients with median hospital cost difference of 3 234.46 yuan; upper respiratory tract infection in patients with median hospital cost was 3 192.15 yuan, urinary tract infection in patients with the median difference in hospitalization costs The value is 2 495.07 yuan. Conclusion Infection rates in different hospitals lead to varying degrees of hospitalization costs in stroke patients. Strengthening the control of nosocomial infections in different parts of stroke patients and taking preventive measures in time can reduce the hospitalization costs, reduce the economic burden and avoid the waste of medical resources.