NICU320例重症脑卒中患者医院感染的特点分析

目的探讨神经重症监护病房（NICU）重症脑卒中患者医院感染的特点，分析引起医院感染的危险因素，寻求有效的控制措施。方法对荆州市第二人民医院NICU的617例重症脑卒中患者进行筛选，对其中320例医院感染的特点及危险因素进行分析。结果NICU重症脑卒中医院感染率为51．86％，以呼吸系统及泌尿系统感染多见，分别占感染例次（347）的62．82％和21．90％。医院感染的发生除基础疾病严重外，与环节护理质量、侵入性操作、住院时间、营养状况等有关。结论NICU重症脑卒中患者医院感染发生率高，应充分重视其危险因素，重视抗生素的合理使用，强化环节护理质量控制，从源头和关键环节上有效控制医院感染的发生。

Analysis on The Characteristics of Nosocomial Infection of 320 Severe Stroke Patients in NICU

Objective] To investigate the characteristics of nosocomial infection of severe stroke patients in NICU, analyze the risk factors, and develop effective measures. Methods] After screening of 617 severe stroke patients in NICU of Jingzhou Second People Hospital, 320 were selected to conduct analysis of nosocomial infection characteristics and risk factors. Results] The nosocomial infection rate of severe stroke patients in NICU was 51.86% , The infections of respiration system （62.82% of 347 infection cases） and urinary system 121.90% of 347 infection cases l were much more than others. The nosocomial infection was correlative with serious basic disease, nursing quality, invasive operation, length of stay in hospital, and nutrition. Conclusion] The incidence of nosocomial infection of severe stroke patients in NICU is high. The inducing risk factors and reasonable use of antibiotic should be emphasized, nursing quality control should be intensified to control hospital infection from source and key link.