急性脑血管意外患者医院感染相关因素分析

Clinical analysis of acute cerebral vascular accident related factors of patients with nosocomial infection

目的探讨急性脑血管意外患者医院感染的影响因素。方法回顾性分析680例急性脑血管意外患者的临床资料，将合并医院感染患者作为观察组，按照1：1比例选择同期急性脑血管意外无合并医院感染的患者作为对照组，比较两组患者在年龄大小、性别构成、意识状态、侵袭性操作、脱水剂应用时间、是否预防应用抗生素等差异。结果680例急性脑血管意外患者中发生医院感染90例；两组比较性别构成、脱水剂应用时间差异均无统计学意义（均P〉0．05）；与对照组比较观察组年龄大、昏迷、实施侵袭性操作、预防应用抗生素比例高，差异均有统计学意义（均P〈0．05）。结论急性脑血管意外患者医院感染发生率较高，与多种因素有关，同时针对相关因素采取相应措施避免医院感染的发生。

Objective To explore acute cerebral vascular accident factors in patients with nosocomial infection. Methods Clinical data with 680 cases with acute cerebral vascular accident were retrospectively analyzed, and the patients with hospital flu infected as the observation group, selected in accordance with 1 ： 1 over the same period without cerebrovascular accident combined hospital patients feel as control group. The patient age, gender, state of consciousness, invasive operation, dehydrating agent application time, whether use of antibiotics and other differences were compared . Results In 680 cases of patients with acute cerebral vascular accident, there were 90 cases of hospital in- fection ;two groups gender, dehydrating agent application time had no difference （P 〉 0.05 ）;the observation group compared with the control group older, unconscious ,to implement invasive operation to prevent high proportion of antibiotics（ P 〈 0.05 ）, hospital infection-related factors. Conclusion Acute cerebral vascular accident patients should have a higher incidence of nosocomial infection, and be related with many factors. Taking corresponding measures against the relevant factors could prevent hospital infection.