高血压脑出血患者医院感染因素分析  

Analsis on the risk factor of hospital infection for hypertensive intracerebral hemorrhage

作　　者：张志宏[1] 李克民[1] 方旭生[1] 柳隆华[1] 

机构地区：[1]汕头市中心医院神经外科,广东省汕头515031

出　　处：《中国基层医药》2010年第13期1768-1769,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨高血压脑出血（GCS＜8分）并发医院感染的危险因素.方法 选取神经外科住院时间≥72 h,GCS＜8分的患者408例,其中符合医院感染诊断标准者作为高血压脑出血（HICH）感染组,未感染者为对照组.采用单因素分析与多因素分析其危险因素.结果 对30多个可能的危险因素进行单因素分析,有20种差异有统计学意义（P＜0.05）,其中误吸、抗生素使用种类、雾化吸入、空腹血糖升高,留置胃管为HICH感染因素.结论 HICH感染是多因素作用的结果,但通过加强监护,医院感染是可以控制和减少的.Objective To explore the risk factors of hospital infection for hypertensive intracerebral hemorrhage （ HIGH）. Methods 408 patients from Department of Neurology whose length of stay equaled or exceeded 72 hours and who fitted in with the criterion for the diagnosis of hospital infection were chosen as the HICH infection group while HICH patients without hospital served as the control group. The risk factors for HICH were studied by means of both single factor analysis and multifactor analysis. Results Of more than 30 possible risk factors that were studied by means of single factors analysis, more than 20 manifested marked difference （P 〈 0.05）. Uncondition Logistic regression analysis of the more than 20 variables indicated that rise of inhalation of food resulting from indwelling, stomach tube,kinds of antibiotics used,spray inhalation and fasting blood-glucose,accidental were the risk factors of HICH infection. Conclusion HICH infection results from the synergetic action of various factors and hospital infection could be controlled and reduced by strengthening supervision.

关 键 词：颅内出血 高血压性 医院感染 危险因素 

分 类 号：R544[医药卫生—心血管疾病] R74[医药卫生—内科学]