颅内出血颅脑术后医院感染危险因素

目的 探讨颅内出血颅脑术后患者医院感染的危险因素。方法 对1997年1月～2002年12月住院的141例颅内出血颅脑术后患者进行医院感染危险因素分析。结果 医院感染率41．13％，例次感染率60．28％；感染部位主要是下呼吸道占50．59％，其次为泌尿道和颅内感染各占11．76％；医院感染危险因素主要是老年人免疫力低下、住院和手术时间长、导尿、气管切开、插管全麻；感染发生在术后两周内占多数。结论 针对危险因素注意提高患者免疫力，缩短住院和手术时间，尽可能减少侵入性操作，尽早去除各种管道，规范各项操作规程，加强病房消毒管理。

Risk Factors for Nosocomial Infection of Cerebral Hemorrhage after Craniocerebral Operation

OBJECTIVE To explore the risk factors for nosocomial infection of cerebral hemorrhage patients after craniocerebral operation. METHODS A total of 141 cerebral hemorrhage patients after craniocerebral operation from Jan 1997 to Dec 2002 were investigated. RESULTS From them 60.28% patients were infected and the nosocomial infection rate was 41 13%. The most common sites were respiratory tract (50.59%), urological tract (11.76%) and craniocerebral infection (11.76%). The risk factors of nosocomial infection were senile patients with low efficiency immunity, the longation of duration and operation time, urethral catheterization, tracheotomy, intubation under general anesthesia. The infections often occurred two weeks later after operation. CONCLUSIONS The administration should be strenghtened, to standardize the procedure and improve the patient's immunity in order to reduce the risk factors.