脑出血238例中医院感染调查

Investigation of 238 cases of cerebral hemorrhage with hospital infection

目的 探讨脑出血患者医院感染的危险因素。方法 对我院 2 0 0 3年 1月 1日至 12月 31日出院的脑出血患者进行回顾性调查分析。结果 2 38例脑出血患者中发生医院感染 34例 ,感染率为 14 2 9% ;感染部位以下呼吸道感染为主 ,占 4 7 37% ,其次为上呼吸道和泌尿道 ,分别占 15 79%和 13 16 % ;医院感染的发生与患者的年龄、意识障碍、出血破入脑室、侵袭性操作、合并糖尿病和肾脏疾病、应用H2 受体阻滞剂等因素有关。结论 脑出血患者是医院感染的高发人群 ,应针对危险因素采取积极有效的防治措施。

Objective To explore the risk factors of hospital infection in patients with encephalorrhagia.Methods Making a retrospective survey study of the patients with cerebral hemorrhage discharged from our hospital between January 1 and December 31,2003.Results 238 cases of encephalorrhagia,34 cases suffered from hospital infection,rate of infection being 14.29%;Of all the infection sites,lower respiratory tract is mostly affected,making up 47.37% of the total;Infections of upper respiratory tract and urinary tract happen less often,making up respectively 15.79% and 13.16%.Hospital infection is related to the age of the patient,disorder of consciousness,ventricular hemorrhage,invasive operation,complications of diabetes and nephrosis and other factors.Conclusion Patients with cerebral hemorrhage are among the high risk population of hospital infection and active and effective preventive measures should be taken against above-mentioned risk factors.