老年脑血管意外患者全身炎症反应综合征评分与医院感染及预后的相关性分析  

Relationship among Systemic Inflammatory Response Syndrome Score,Nosocomial Infection and Prognosis in Elderly Patients with Cerebrovascular Accident

作　　者：何双兰[1] 国泽延[1] 陈韫琴[1] 吴润娇[1] 李环波[1] 兰丽梅[1] 陈四萍[2] 王建军[2] 

机构地区：[1]南方医科大学附属小榄人民医院,广东中山528415 [2]广东医学院附属陈星海医院,广东中山528415

出　　处：《护理学报》2013年第2期67-69,共3页Journal of Nursing（China）

基　　金：中山市科技计划项目(20113A084)

摘　　要：目的评价老年脑血管意外患者全身炎症反应综合征(systemic inflammatory response syndrome,SIRS)评分与发生医院感染及预后的相关性。方法本研究共收集187例神经内科的患者,对患者入院72 h内进行SIRS评分,并对其发生医院感染与预后进行前瞻性统计。结果187例病例中,发生医院感染34例,医院感染发生率18%;死亡23例,死亡率12%;随着SIRS评分增加,医院感染发生率、患者死亡率有增加的趋势(P<0.05)。结论住院超过24 h且SIRS评分≥2分的老年脑血管意外患者应高度警惕医院感染发生的可能性,早期给予相应的干预措施,阻断由SIRS进一步进展到多器官功能衰竭的可能性。SIRS评分系统项目简单,方便操作,为指导临床预测患者的预后提供了又一重要方法,熟练掌握并应用于临床实践中将有助于对患者病情估计和有效诊治,具有良好的临床应用和科研价值。Objective To explore the relationship among the score of Systemic Inflammatory Response Syndrome （SIRS）, nosocomial infection and prognosis in elderly patients with cerebrovascular accident. Methods Data were collected from 187 patients admitted in Dept. of Neurology and their SIRS scores were calculated within 72 hours. The occurrence of hospital infection and its prognosis were prospectively investigated. Results Of the total, 34 cases were with hospital infection, with the nosoeomial infection occurrence of 18%, while 23 cases died, with the mortality rate of 12%; the nosoeomial infection and mortality rates increased with the increase of SIRS score, which presented a linear correlation （P〈0.05）. Conclusion It suggests that for elderly patients with cerebrovascular accident, once admitted more than 24 h and with SIRS score of more than 2 points, they should be highly alert to the possibility of nosocomial infection, and early interventions is indispensable. SIRS score system project is easy to operate and provide an important method for assessing the risk of infection in patients with cerebrovascular acciden4 which is meaningful for clinical application and research.

关 键 词：脑血管意外 SIRS评分 医院感染 预后 相关性 

分 类 号：R743[医药卫生—神经病学与精神病学] R197.323.4[医药卫生—临床医学]