神经内科患者感染危险因素分析

目的探讨神经内科患者医院感染的发病情况及危险因素。方法采用回顾性调查方法对2005年1月～2009年7月1887例神经内科病人进行分析。结果在1887例神经内科病人中，发生医院感染198例，感染率10．5％；感染多发于脑卒中患者，以脑梗死、脑出血为主，其构成比分别占45．12％和18．78％；感染部位主要以呼吸道为主，构成比61．6％，其次为泌尿道，构成比9．79％。呼吸道医院感染的相关因素与病人的年龄、基础病、住院卧床时间、侵入性操作有密切关系。结论神经内科医院感染严重影响患者疾病的治疗进程和预后，应对主要危险因素进行重点监控和预防，以减少医院感染的发生。

Analyze the risk factor in department of internal neurology

Objective To study the nosocomial infection incidence and risk factors of internal neurology patients.Methods A retrospective survey study was carried out to investigate 1887 cases of internal neurological patients during the period from January 2005 to July 2009.Results 1887 cases of neurological patients, 198 cases of nosocomial infection, infection rate was 10.5%. Infection mainly occurs in the stroke patients and cerebral infarction（45.12%）, cerebral hemorrhage （18.78%）.The main site of infection respiratory tract mainly constituted 61.6%, followed by urinary tract（9.79%）. The main risk factors of respiratory tract infection are patient＇s age. underlying diseases, hospital bed time. invasive operation.Conclusion The treatment process and prognosis of the disease is severely affected by nosocomial infection. The major risk factors should be focused on monitoring and prevention in order to reduce the incidence of hospital infection.