摘要
目的;探讨脑梗塞老年患者医院感染(NI)的高危因素和护理干预措施。方法:回顾性分析820例脑梗塞老年患者(年龄60～89(71.25±10.16)岁)的临床资料,根据有无发生NI将患者分为感染组和非感染组,比较两组相关参数异同;同时分析感染组感染部位及病原菌类型。结果:感染组患者年龄、住院天数、非腔隙性CI人员比例、意识障碍人员比例、糖尿病人员比例、有创检查和治疗人员比例、抗菌药联合和免疫制剂及激素人员比例显著高于非感染组(P<0.05),而患者性别两组之间无显著性差异(P>0.05)。感染发生的部位主要为呼吸道(38.1%,48/126)和泌尿系(29.4%,37/126);主要的病原菌为革兰阴性菌株(44.6%,41/91)。结论:脑梗塞老年患者发生NI与患者年龄、住院天数、非腔隙性CI、意识障碍、糖尿病、有创检查和治疗、抗菌药联合和免疫制剂及激素应用有关;采取相应干预措施及控制危险因素可降低NI发生率。
Objective ：To investigate the high risk factors and preventive measures of nosocomial infection in gerontal eerbral infarction patients. Methods： Eight hundred and twenty gerontal cerbral infarction patients （ Age 60 - 89 （71.25 ±10.16） years） were analyzed retrospectively. All patients was divided into infection and non -infection group. The results were compared between the groups. Meanwhile, We also analyzed main infection sites and pathogenic bacteria in infection group. Results ： Age, hospitalized days, non - lacunar infarction, disturbance of consciousness, diabetes, invasive treament procedures, application of antibiotics were difference significantly in infection group compared to those of non -infection group（ P 〈 0.05 ）. However, there was not significant difference in gender in infection compared to non - infection group（ P 〉 0- 05 ）. Furthermore, respiratory and urinary system were main infection sites, and gram - negative bacteria was main pathogens. Conclusions ： The risk factors of nosocomial infection included ： Age, hospitalized days, non - lacunar infarction, disturbance of consciousness, diabetes,invasive treament procedures, application of antibiotics. Preventing and controlling the risk factors can reduce the rate of nosocomial infection among the cerbral infarction patients.
出处
《医学信息（中旬刊）》
2010年第12期3823-3824,共2页
Medical Information Operations Sciences Fascicule
关键词
脑梗塞
医院感染
危险因素
干预措施
Cerbral infarction
Nosocomial infection
High risk factors
Preventive measures
