脑出血患者院内感染分析及预防对策

STUDY OF NOSOCOMIAL INFECTION AND PRECAUTIONRY IN THE PATIENBTS WITH CEREBRAL HEMORRHAGE

目的 :研究脑出血患者发生院内感染的感染率及危险因素 ,为防治院内感染提供依据。方法 :对 2 0 0 0年1月～ 2 0 0 2年 12月在我院神经内科收治的 2 96例脑出血患者进行回顾性分析 ,调查院内感染的发生率及与年龄、出血部位、昏迷、住院时间的关系。结果 :脑出血患者院内感染发生率为 2 3.0 % ,脑干出血感染率最高 ,为 4 2 .1% ,6 0岁及以上组较 6 0岁以下组感染率高 ,昏迷组较非昏迷组感染率高 ,且感染率随住院天数的增加而增加。结论 :脑出血患者院内感染发生率高 ,其中以脑干出血感染率最高 ,年龄越大 ,感染率越高 ,昏迷患者较非昏迷患者易发生院内感染 ,住院时间长者感染率亦高。

Objective:To study the rate and risk factors of nosocomial infection in the patients with cerebral hemorrhage and provide support for nursing .Methods:296 patients being hospitalizd in nurology department of our hospital from Jan. 2000 to Dec. 2002 were retrospectively analysised,to investigated the rate of nosocomial infection and the relation with age, location of cerebral hematoma ,disturbance of consciousness,bed-days.Results:It was showed the rate of nosocomial infection in the patients with cerebral hemorrhage was 23%.Among them the rate in the patients with brain stem hemorrhage was highest, 42. l%.The nosocomial infection rate in patients over 60 years was higher than under 60 years.The rate in patients being doma was higher than not being doma and the rate raise with the bed-days rise. These were difference in statistics.Conclusions:Nosocomial infectionwas a high frequent complication in the patients with cerebral hemorrhage and the rate was related to cerestem hemorrhage ,elderly, doma and longer bed-times.