卒中患者院内肺部感染危险因素和预防分析

Analysis of risk factors and preventive strategies of pneumonia in stroke patients in hospital

目的探讨卒中患者院内肺部感染的危险因素及其预防和治疗措施。方法对2005-01～2007-03我科收治的290例卒中患者中院内肺部感染者的病原学和临床资料进行回顾性分析。结果本组病例院内肺部感染率35.9%,病原菌中G^-菌占63.7%。G^＋菌32.2%,真菌4.1%。高龄、住院时间长、呼吸机的应用、气管切开、病情危重、基础病等是感染的主要危险因素。结论加强对院内肺部感染的危险因素控制是降低感染率的有效方法。

Objective To investigate the risk factors and preventive measurement for pneumonia in stroke patients. Methods A total of 290 patients, pathogenic microorganism and clinical data with pneumonia from Jan. 2005 to Mar. 2007 were retrospectively analyzed. Results The rate of hospital pneumonia in stroke patients was 35.9%, including Gram-negtive bacillus 63.7%,Gram-positive bacillus 32.2%, fungus 4. 1%. The risk factors were aging, long hospitalization, respiratory machine application, repiratory tract incision ,intensive patient＇s condition and underlying disease. Conclusion Effective measurement against different risk factors may decrease the rate of pneumonia in hospital.