脑血管病患者医院感染的相关因素分析

目的：了解脑血管病住院患者医院感染危险因素，加强医院感染的防治。方法：采用回顾性方法调查2000年6月。2004年10月间神经内科脑血管病住院患者的临床资料。结果：脑血管病患者医院感染率为12．3％，例次感染率为16．4％。医院感染部位以下呼吸道感染最多见，占35．6％；其次是泌尿道和胃肠道，分别占24．6％与10．2％。年龄、住院天数、侵袭性操作、饮酒史、合并糖尿病、意识障碍程度、白细胞计数、应用H2-受体阻滞剂和抗菌药物等是医院感染发生的相关因素。结论：脑血管病患者医院感染发生率高，相关危险因素较多，应高度重视并加强防护。

Study of Related Factors of Nosocomial Infection in Patients with Cerebrovascular Diseases

Objective:To study the risk factors of nosocomial infections in patients with cerebrovascular diseases for their prevention management.Methods:A retrospective study was carried out to investigate the clinical date of patients with cerebrovascular diseases in the department of Neurology from Jan 2000 to Dec 2004.Results:One-hundred and eighteen cases with nosocomial infection were found in 962 cases and the infecteion ratio was 12.3%.Lower respiratory tract infection(35.6%)was the most common infection,followed by the urinary infection(24.6)and gastrointestinal infection(10.2%).Nosocomial infection was closely related to patient's ages,duration of hospitalization,in invasive operation,alcohol drinking,diabetes mellitus,amount of leucocyte,mental disorders,application of antimicrobial agents and H_2-receptor blocking agents.Conclusions:Nosocomial infection was high in patients with cerebrovascular diseases and the related factors should be given more attention.