530例脑血管病患者医院感染相关因素分析

目的：探讨脑血管病患者医院感染的相关因素。方法：回顾性分析了530例脑血管疾病患者在医院发生感染的情况。结果：在住院期间发生了医院感染165例，发生率为31．3％，其中脑出血122例，发生医院感染66例（54％），脑梗死292例，发生医院感染73例（25％）；65岁以上316例，发生医院感染117例，感染率为37％。结论：分析了各种相关因素后指出，意识不清，各种反射减弱，呼吸道分泌增多及泛用抗生素是导致医院感染的主要因素，并提出预防医院感染的相关措施。

Risk Factors about Nosocomial Infection in Patients with Cerebrovascular Disease: An Analysis

OBJECTIVE To evaluate the prevalence, clinical features and risk factors of nosocomial infection in patients with cerebrovascular disease. METHODS The nosocomial infection occurred in 530 patients with cere-brovascular disease was studied retrospectively. RESULTS Out of them, 165 patients suffered from nosocomial infections (the infection rate was 31. 3%). There were 122 patients with cerebral hemorrhage, 292 with cerebral infarction and 316 at the age over 65, from them 66. 73 and 117 had nosocomial infections, respectively (the infection rates were 54% , 25% and 37% , respectively). CONCLUSIONS The results show that the main risk factors about nosocomial infection are related to disturbance of consciousness, some minimal or absent reflexes and increase in respiratory tract secretion. Preventive measures were introduced to lower the infection rate of the patients with cerebrovascular disease.