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目的探讨脑梗死患者发生医院感染的危险因素,提出预防对策。方法对2520例脑梗死患者的临床资料进行回顾性分析,将发生医院感染的126例患者作为研究组,选取无医院感染的126例作为对照组,对医院感染的危险因素进行对比分析,提出预防性措施。结果发生医院感染126例,感染率为5%;感染部位以呼吸道感染为主,有56例占44.4%,其次感染部位为泌尿道、胃肠道、口腔、血液及皮肤软组织感染,分别占21.5%、11.9%、8.7%、7.9%和5.6%;感染危险因素主要包括:年龄、住院时间、抗菌药物的滥用、留置导尿管、胃管及机械通气等,两组间差异有统计学意义。结论脑梗死患者发生医院感染的危险因素主要与患者的高龄、较长时间住院、患者意识障碍以及滥用抗菌药物等有关,要采取针对性的预防措施,有效降低其发生医院感染的几率。
Objective To explore the risk factors of nosocomial infection in patients with cerebral infarction and to propose preventive measures. Methods The clinical data of 2520 patients with cerebral infarction were retrospectively analyzed. 126 patients who had nosocomial infection were selected as the study group, 126 patients without nosocomial infection were selected as the control group, and the risk factors of nosocomial infection were compared and analyzed. Sexual measures. Results 126 cases of nosocomial infections were found, the infection rate was 5%. Infection sites were mainly respiratory tract infections, with 56 cases accounting for 44.4%. The infected sites were urinary tract, gastrointestinal tract, oral cavity, blood and skin and soft tissue infections, accounting for 21.5 %, 11.9%, 8.7%, 7.9% and 5.6% respectively. The risk factors for infection mainly included age, length of hospital stay, abuse of antibiotics, indwelling catheters, gastric tube and mechanical ventilation. There was significant difference between the two groups . Conclusions The risk factors of nosocomial infection in patients with cerebral infarction are mainly related to the elderly patients, hospitalization for a long time, patients with unconsciousness and abuse of antimicrobial agents. To take targeted preventive measures to reduce the risk of nosocomial infection.