摘要
目的调查脑卒中患者医院感染的情况,探讨其有效的对策。方法对我院收治的1 062例脑卒中患者的病历进行回顾性调查分析。结果脑卒中医院感染率为10.73%,例次感染率12.90%,与我院同期例次感染率3.08%相比较,有高度显著性差异(P<0.01)。感染部位以下呼吸道感染最常见占41.61%,感染的发生与年龄、卒中类型、伴意识障碍、糖尿病、侵入性操作及住院时间等因素密切相关,而与性别无关。结论脑卒中是医院感染高危人群,应重点监控。做好基础护理,严格无菌技术操作规程、合理使用抗菌素等是降低其医院感染的有效措施。
Objective To investigate the situation of nosocomial infection in the patients with stroke, and to find a valid strategy to control it. Methods Medical records of 1,062 inpatients with stroke were retrospectively investigated and analyzed in our hospital. Results The nosocomial infection rate of stroke patients was 10.73 96. The case nosocomial infection rate （12.9 % ） was significantly higher than the general case nosocomial infection rate （3.08 96 ） in Shantou Hospital during the same period （P〈 0.01）. Most cases had lower respiratory problem （41.61% ）. The occurrence of infection was closely related to age, type of stroke, conscious disturbance, diabetes, incursive operation, and hospitalization time, etc. Conclusions Stroke patients are the high- risk population of nosocomial infection, and it is necessary to pay special attention to them. Improving the basic nursing care, following the antivirus skill and operation rules, and using antibiotics rationally are the effective measures in controlling the nosocomial infection.
出处
《实用预防医学》
CAS
2009年第1期185-186,共2页
Practical Preventive Medicine
关键词
脑卒中患者
医院感染
护理对策
Stroke patient
Nosocomial infection
Nursing strategy
