摘要
目的探讨脑梗死患者医院感染原因及预防对策,为临床预防感染提供客观依据。方法选择2010年12月-2012年12月发生医院感染的62例脑梗死患者作为观察组,并随机选取同期未发生医院感染的62例脑梗死患者作为对照组,比较两组患者性别、年龄、体质量、住院时间、意识障碍、留置导尿、医院感染前的抗菌药物使用和机械通气等相关资料的差异。结果观察组男女比值为1.21,对照组为1.58;观察组体质量异常患者14例占22.58%、对照组12例占19.35%,两组患者在性别与体质量方面差异无统计学意义;观察组年龄≥70岁、抗菌药物使用、意识障碍、机械通气、留置导尿、住院时间≥20d患者的分布率,分别为67.74%、51.61%、45.16%、6.45%、41.94%、48.39%,均明显高于对照组的32.26%、17.74%、11.29%、0、8.06%、12.90%,两组患者相关资料比较,差异有统计学意义(P<0.05)。结论脑梗死患者发生医院感染的原因有高龄、住院时间长、存在意识障碍、留置导尿、医院感染前使用抗菌药物或机械通气等,应针对这些因素,采取综合性的预防对策,减少医院感染发生的可能性。
OBJECTIVE To investigate the causes and preventive measures of nosocomial infections in patients with Cerebral infarction, so as to provide an objective basis for clinical prevention of infections. METHODS A total of 62 cases of nosocomial infection patients with cerebral infarctions from Dec. 2010 to Dec. 2012 were selected as the observation group and 62 cerebral infarction patients with no nosocomial infections in the same period were randomly selected as the control group. Two groups were compared in gender, age, weight, using of antibiotics, hospitalization time, disturbance of consciousness, mechanical ventilation and other relevant information. RESULTS The male to female ratio was 1.21 in the observation group and 1.58 in the control group. 14 patients （22.58%） in the observation group and 12 patients （19.35%） in the control group had abnormal weight, the differences in gender and weight between the two groups were not significant. The distribution rates of age≥70 years, antibiotic using, disturbance of consciousness, mechanical ventilation, retention catheterization, and length of stay≥20 d in the observation group were 67. 74%, 51. 61%, 45. 16%, 6. 45%, 41. 94%, and 48. 39%, significantly higher than the control group with these rates of 32. 26%, 17. 74%, 11. 29%, 0, 8. 06%, and 12.90% （P〈 0. 05）. CONCLUSIONS The causes of nosocomial infections in patients with cerebral infarction included old age, long hospital stay, using of antibiotics, disturbance of consciousnegs and mechanical ventilation. Targeting at these factors, comprehensive preventive measures should be taken to reduce the likelihood of hospital infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第11期2725-2726,2734,共3页
Chinese Journal of Nosocomiology
基金
浙江省医药卫生科技基金项目(2011DHF364)
关键词
脑梗死
医院感染
原因
预防对策
Cerebral infarction
Hospital infection
Reason
Prevention measures
