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目的调查脑卒中患者医院感染的情况,探讨其有效的对策。方法对我院收治的1 062例脑卒中患者的病历进行回顾性调查分析。结果脑卒中医院感染率为10.73%,例次感染率12.90%,与我院同期例次感染率3.08%相比较,有高度显著性差异(P<0.01)。感染部位以下呼吸道感染最常见占41.61%,感染的发生与年龄、卒中类型、伴意识障碍、糖尿病、侵入性操作及住院时间等因素密切相关,而与性别无关。结论脑卒中是医院感染高危人群,应重点监控。做好基础护理,严格无菌技术操作规程、合理使用抗菌素等是降低其医院感染的有效措施。
Objective To investigate the prevalence of nosocomial infection in stroke patients and explore its effective countermeasures. Methods A retrospective analysis was performed on the medical records of 1 062 stroke patients admitted to our hospital. Results The hospital infection rate was 10.73% and the infection rate was 12.90%. There was a significant difference (P <0.01) when compared with the 3.08% infection rate in our hospital at the same period. The most common respiratory tract infection below the infection site accounted for 41.61%. The incidence of infection was closely related to age, type of stroke, disturbance of consciousness, diabetes, invasive procedures and length of hospital stay, but not gender. Conclusion Stroke is a high risk group of hospital infection and should be monitored. Good basic care, strict aseptic technique procedures, the rational use of antibiotics is to reduce the effective measures of nosocomial infections.