脑血管病患者介入治疗后发生医院感染的危险因素及预防策略

Risk factors and prevention strategies of nosocomial infection in patients with cerebrovascular disease after interventional therapy

目的探析脑血管疾病患者在介入治疗后发生医院感染的危险因素及其针对性的预防策略。方法分析本院2013年8月至2016年8月183例脑血管疾病经介入治疗患者的医院感染情况，并分析其医院感染的原因，制定出相应的预防策略。结果183例患者中出现医院感染37例，感染率20．22％。感染部位主要在呼吸系统、生殖泌尿系统、血液系统和消化系统；感染因素包括年龄、住院时间、呼吸机使用和留置尿管等。结论在脑血管疾病患者经介入治疗后，由于卫生预防措施不全面，会导致医院感染，严重影响到患者疾病治疗和恢复，医院应加强医护人员的防范意识，降低医院感染发生率，以利于增强患者治疗效果。

Objective To explore the risk factors and targeted preventive measures of nosocomial infection in patients with cerebrovascular diseases after interventional therapy. Methods From August, 2013 to August, 2016, nosocomial infection was explored in 183 patients with cerebrovascular diseases treated by interventional therapy at our hospital. The causes of nosocomial infection were analyzed and the corresponding prevention strategies were drawn up. Results There were 37 cases of nosocomial infection in the 183 cases, with an infection rate of 20.22%. The main infection sites were in respiratory system, genitourinary system, hematological system, and digestive system. The infection factors included age, length of hospital stay, ventilator use, indwelling catheter, etc. Conclusion After interventional therapy for patients with cerebrovascular disease, nosocomial infection may happen due to incomplete health prevention measures. It can affect the treatment and rehabilitation severely. We should strengthen awareness in preventing nosocomial infection and reducing the incidence of nosocomial infection, in order to enhance the patients＇ therapeutic effect.