脑梗死患者医院获得性感染的易感因素分析与护理干预  

Clinical analysis of predisposing factors for nosocomial infection with cerebral infarction and nursing intervention

作　　者：杜丽萍[1] 刘亚新[1] 吴强爱[1] 姚炯[1] 

机构地区：[1]浙江省人民医院神经内科,浙江杭州310014

出　　处：《中华医院感染学杂志》2011年第13期2721-2723,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨脑梗死患者医院获得性感染的易感因素和护理干预。方法对2008年1月-2010年12月,收治的580例脑梗死患者临床资料进行回顾性调查分析。结果 580例脑梗死患者中发生医院获得性感染80例,感染率为13.8%,其中以革兰阴性杆菌感染为主占78.7%,感染部位以下呼吸道最高占65.0%;年龄≥60岁占15.2%、住院时间≥30 d占28.6%,有基础疾病、意识障碍及侵入性操作,是脑梗死患者发生医院获得性感染的易感因素。结论通过加强消毒隔离及长期卧床和老年患者的护理、合理使用抗菌药物等综合干预措施,预防医院获得性感染,以降低医院感染的发生率,提高患者的治愈率和改善预后。OBJECTIVE To investigate the predisposing factors and nursing intervention of nosocomial infection in patients with cerebral infarction. METHODS The retrospective analysis was perform on the clinical data of 580 patients with cerebral infarction from Jan 1st, 2008 to Dec 1st, 2010. RESULTS Totally 80 cases of nosocomial infection occurred in 580 patients with cerebral infarction, the infectious rate was 13. 8%. The most common bacteria were Gram-negative bacilli（78.65%）, the most common site was lower respiratory tract （65.0%）. The predisposing factors were： aged ≥60, length of stay ≥30 d, consciousness disturbance, invasive procedures. CONCLUSION Age, length of stay, underlying disease, consciousness disturbance, and invasive procedures are the most common risk factors of nosocomial infection. More attention should be paid to the monitoring of environment, enhancing the immunity and improving the contrivable factors of patients, and other comprehensive methods to improve the curative efficacy and prognosis of patients.

关 键 词：脑梗死 医院获得性感染 易感因素 护理干预 

分 类 号：R181.32[医药卫生—流行病学]