脑出血患者医院感染危险因素分析

目的研究脑出血患者医院感染发生率及其危险因素,以采取有效控制措施. 方法回顾性分析了1997年1月～2003年8月我院神经内科收治的脑出血患者617例的有关临床资料. 结果脑出血患者医院感染发生率为45.54%,以下呼吸系统感染最常见,占43.06%;高龄、脑出血部位、意识障碍程度、入院时高血糖、长住院日等是医院感染的危险因素,意识障碍者及时予安宫牛黄丸治疗可降低医院感染的发生. 结论要积极控制相关的危险因素,预防医院感染的发生.

Risk Factors about Nosocomial Infection in Cerebral Hemorrhage Patients

OBJECTIVE To investigate and control the risk factors about nosocomial infection in cerebral hemorrhage disease patients. METHODS To study retrospectively 617 hospitalized patients with cerebral hemorrhage disease in our hospital from Jan 1997 to Aug 2003. RESULTS Incidence of nosocomial infection was 45.54% in all 617 cases. Among them, nosocomial lower respiratory tract infection was the highest (43.06%). Aging, location of cerebral hemorrhage, the level of disturbance of consciousness, blood-sugar, and the bed-days were the risk factors. Whereas treatment with some traditional Chinese medicine named Angongniuhuangwan could decrease nosocomial infection. CONCLUSIONS We must take some measures to control the risk factors mentioned above and prevent nosocomial infection.