组织化卒中管理模式对脑卒中患者医院感染的影响  

Impact of Nosocomial Infection on Stroke Patients in Organized Stroke Ward

作　　者：吴婉玲[1] 卢锡林[1] 郑民缨[1] 梁伟[2] 姚晓黎[1] 胡正路[3] 

机构地区：[1]中山大学附属第一医院神经科,广东广州510080 [2]中山大学附属第一医院病案室,广东广炼510080 [3]中山大学附属第一医院公共卫生学院,广东广州510080

出　　处：《中华医院感染学杂志》2009年第20期2753-2754,共2页Chinese Journal of Nosocomiology

基　　金：广东省博士启动基金资助项目(5300783);广东省科技计划项目(2006B36003003)

摘　　要：目的研究组织化卒中管理模式对医院感染的影响。方法自2002年1月-2006年12月的脑卒中患者共2637例,随机进入组织化卒中病房(研究组)和普通神经科病房(对照组),比较两组的医院感染发生率。结果研究组的医院感染发生率为10.81%,感染部位以呼吸道和泌尿道为主,分别占66.67%和23.33%;对照组感染发生率为13.66%,呼吸道和泌尿道感染分别占69.70%和19.70%,两组比较差异有统计学意义(P<0.05)。结论组织化卒中管理模式对预防脑卒中患者医院感染的发生较普通神经科病房更具有优越性。OBJECTIVE To study the impact of nosocomial infection on stroke patients in the organized stroke ward. METHODS Totally 2637 patients with acute stroke were investigated in our study from Jan 2002 to Dec 2006. All patients were sent randomly to organized stroke ward or the general ward （GW） for treatment. Then the nosocomial infection ratio between groups were compared. RESULTS Compared with GW, the nosocomial infection ratio of tested group was 10. 81%, mainly resulted from respiratory （66. 67%） and urinary infection （23.33%）. while 13.66% in control group, mainly resulted from respiratory （69.70%） and urinary infection （19.70%）. The nosocomial infection ratio of tested group was significant lower than that of control group （P〈0.05）. CONCLUSIONS It is more superior to reduce the hospital onset of infection ratio in organized stroke ward than in the general ward.

关 键 词：脑卒中 组织化卒中管理模式 医院感染 

分 类 号：R181.32[医药卫生—流行病学]