脑出血并发医院感染的相关因素分析

目的探讨脑出血患者并发医院感染相关因素，以便采取有效控制措施。方法回顾性分析2006年1月-2008年12月我院收治的脑出血患者306例有关临床资料。结果脑出血并发医院感染85例，感染发生率27．78％，多发生在住院第一用，下呼吸道感染最多，占62．89％。痛原学检查主要为条件致病菌。侵袭性操作、高血糖、意识障碍、年龄、营养状态与医院感染的发生相关。结论脑出血医院感染发生率较高，积极治疗原发病、减少危险因素，是降低脑出血患者医院感染的有效措施。

RELATED FACTORS OF NOSOCOMIAI INFECTION IN CEREBRAL HEMORRHAGE

Objective The aim of the present study was to control the risk factors of nosoeomial infection in cerebral hemorrhage. Methods The data was studied retrospectively in 306 hospitalized patients with cerebral hemorrhage disease in our hospital from Jan 2006 to Dec 2008. Results It showed that 85 cases with nosocomial infection were found among 306 cases. The infected ratio was 27. 78%. Nosocomial infection usually took place within the first 1 weeks after patients hospitalized. Among the types of nosocomial infection, lower respiratory tract infection was the most （62. 89%）. Pathogenic bacteria were the conditional ones. Nosocomial infection was closely related with such factors as the invasive operation, blood sugar,disorder of consciousness, age and condition of nutrition. Conclusion Nosoeomial infection is still a high frequent complication in cerebral hemorrhage. It is suggested that there be urgent need to treat the underlying disease and reduce the risk factors, which can reduce the development of infection in patients with cerebral hemorrhage.