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目的 探讨高血压脑出血（ＨＣＨ）并发医院感染的危险因素。方法 选取神经内科、神经外科住院时间≥７２ｈ １９５例患者、符合医院感染诊断标准作为ＨＣＨ感染组，ＨＣＨ未感染组作为对照组。采用单因素分析与多因素分析ＨＣＨ的危险因素。结果 对３０多个可能的危险因素进行单因素分析，有２２种呈显著差异。再对这２２个变量进行非条件Ｌｏｇｉｓｔｉｃ回归分析表明：空腹血糖升高、留置胃管引起误吸、抗生素使用种类、雾化吸入为ＨＣＨ感染的危险因素。结论 ＨＣＨ感染是多因素综合作用的结果，但通过加强监护，医院感染是可以控制和减少的。
Objective To investigate the risk factors of nosocomial infection in hypertensive intracerebral hemorrhage (HCH). Methods One hundred and fourteen patients were hospitalized in neurology and neurosurgery for ≥72h, which met the diagnostic criteria of nosocomial infection as HCH infection group and uninfected HCH group as control group. Univariate analysis and multivariate analysis of risk factors for HCH. Results Uni-factor analysis was performed on more than 30 possible risk factors, with 22 significant differences. Non-conditional Logistic regression analysis of these 22 variables showed that fasting blood glucose, misdiagnosis caused by indwelling gastric tube, the types of antibiotics used, and inhalation by inhalation were the risk factors for HCH infection. Conclusion HCH infection is the result of multifactorial combination, but nosocomial infection can be controlled and reduced by strengthening the monitoring.