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目的探讨脑出血患者并发医院感染相关因素,以便采取有效控制措施。方法回顾性分析2006年1月—2008年12月我院收治的脑出血患者306例有关临床资料。结果脑出血并发医院感染85例,感染发生率27.78%,多发生在住院第一周,下呼吸道感染最多,占62.89%。病原学检查主要为条件致病菌,侵袭性操作、高血糖、意识障碍、年龄、营养状态与医院感染的发生相关。结论脑出血医院感染发生率较高,积极治疗原发病、减少危险因素,是降低脑出血患者医院感染的有效措施。
Objective To explore the related factors of nosocomial infection in patients with cerebral hemorrhage in order to take effective control measures. Methods The clinical data of 306 patients with cerebral hemorrhage admitted in our hospital from January 2006 to December 2008 were retrospectively analyzed. Results There were 85 cases of intracerebral hemorrhage complicated with nosocomial infection, the incidence rate of infection was 27.78%. The most cases occurred in the first week of hospitalization with the most common lower respiratory tract infection, accounting for 62.89%. Pathogenetic tests are mainly opportunistic pathogens, invasive procedures, hyperglycemia, disturbance of consciousness, age, nutritional status and the occurrence of nosocomial infections. Conclusions The incidence of nosocomial hemorrhage in hospital is high, and active treatment of primary disease and reduction of risk factors are effective measures to reduce nosocomial infection in patients with intracerebral hemorrhage.