脑梗死患者医院感染危险因素分析

[目的]探讨脑梗死患者发生医院感染的危险因素,采取相应的预防措施。[方法]对15 8例脑梗死患者临床资料进行回顾性分析,将15 8例脑梗死患者按有无医院感染的发生分为两组,探讨其发生医院感染的危险因素。[结果]对10种可能的危险因素进行单因素分析,有5种呈现显著性差异(P <0 .0 5 ) ,比值比(OR)均大于1。对后者进行多因素非条件性Logistic回归分析表明:意识障碍、呛咳、排尿功能障碍、抗生素的应用及住院时间为医院感染的独立危险因素。[结论]脑梗死患者医院感染的发生是多种因素综合作用的结果,因此预防措施应是全方面的。

Risk factors analysis of nosocomial infection for cerebral infarction

Objective To investigate risk factors of hospital infection for patients with cerebral infarction. [Methods] In this retrospective analyzethe clinical data of 158 patients with cerebral infarction.They were divided into nosocomial infection groups and non nosocomial infection groups, To investigate risk factors on nosocomial infection.[Results] To univariate analyze for 10 kinds probable risk factors, there were the significant differences on 5 kinds risk factors (P<0.05),odd ratio (OR>1).Multivariate logistic regression analysis revealed that disorders of consciousness,dysphagia caused cough,abnormal micturition,using antibiotics and time of hospitalization were independent risk factors for hospital infection.[Conclusion]To cerebral infarction,hospital infection were caused by many factors ,so we should adopt all-around measure of prevention.