急性脑卒中患者医院感染原因分析与护理对策

目的：探讨急性脑卒中患者医院感染发生率及危险因素，以采取有效的护理对策。方法：回顾分析404例急性脑卒中患者的病历资料，并设对照组进行比较分析。结果：本组急性脑卒中患者发生医院感染68例（84例次），医院感染发生率为16．83％，例次感染率为20．79％；感染部位以下呼吸道、泌尿道、上呼吸道为主，构成比分别为38．10％、30．95％、19．05％，感染组、非感染组在侵入性操作、年龄、住院日方面进行比较，两组均存在显著性差异。结论：急性脑卒中患者为医院感染的高危人群，侵入性操作、不合理应用抗生素为主要易感因素。

Analysis on causes of hospital infection and nursing strategies for acute cerebral apoplexy patients

Objective: To explore the incidence rate of hospital infection and risk factors for acute cerebral apoplexy patients, so as to adopt effective nursing strategies. Methods: Retrospective analysis was made on case records of 404 acute cerebral apoplexy patients and compared with the control group. Results: There were 68 cases of hospital infection among the acute cerebral apoplexy patients(84 case/times), with the incidence rate of hospital infection at 16.83% and the case/times infection rate at 20.79%. The infection sites were mainly the lower respiratory tract, urinary tract and upper respiratory tract, accounting for 38.10%, 30.95% and 19.05% respectively. There were significant differences in invasive operation, age and hospitalization days between the infection and non-infection groups. Conclusion: Acute cerebral apoplexy patients are high risk populations for hospital infection and invasive operation and abuse of antibiotics are major risk factors.