脑血管病患者介入治疗医院感染的危险因素分析及预防对策  

Risk factors causing nosocomial infections to cerebrovascular patients treated with interventional therapy and preventive measures

作　　者：陈祥瑞[1] 赵静[1] 范丹丹[1] 

机构地区：[1]齐齐哈尔医学院附属第三医院神经外科,黑龙江齐齐哈尔161000

出　　处：《中华医院感染学杂志》2014年第12期3014-3015,3023,共3页Chinese Journal of Nosocomiology

基　　金：齐齐哈尔市科技局研究基金项目(黑2009-0744-02)

摘　　要：目的研究脑血管病患者介入治疗后发生医院感染的危险因素,并对预防治疗后感染发生的对策进行分析,预防和控制介入治疗后脑血管病医院感染的发生。方法回顾性分析医院2011年8月-2012年12月经介入治疗的脑血管病患者临床资料,分析经介入治疗后发生医院感染的危险因素以及感染部位分布,感染和未感染患者间计数资料比较采用χ2检验,采用SPSS 13.0进行数据处理。结果 423例经介入治疗的脑血管病患者中,发生医院感染患者87例,感染率为20.6%;其中呼吸系统感染22例占25.29%、血流感染18例占20.69%、泌尿生殖系统感染15例占17.24%;通过对比两组患者诸因素,脑血管病患者经介入治疗后发生医院感染的危险因素主要为年龄大、住院时间长、患者合并有其他疾病、住院期间应用呼吸机、患者留置尿管、进行手术以及未合理应用抗菌药物进行预防。结论经介入治疗的脑血管病患者医院感染发生率较高,医护人员应不断分析脑血管病患者介入治疗后发生感染的危险因素,依据感染发生的危险因素制定相关的预防措施,预防介入治疗后脑血管病患者医院感染的发生。OBJECTIVE To study the risk factors causing nosocomial infections to cerebrovascular patients treated with interventional therapy and to analyze the strategy for infection after preventive treatment so as to prevent and control the occurrence of nosocomial infections after interventional therapy .METHODS The clinical data of the cerebrovascular patients treated with interventional therapy from Aug 2011 to Dec 2012 were retrospectively analyzed and the risk factors causing nosocomial infections after interventional therapy and infection distribution were analyzed ;Chi-square test was adopted to compare the enumeration data between infected patients and none infected patients .SPSS 13 .0 was adopted to perform data processing .RESULTS A total of 87 patients of the 423 cerebrovascular patients who underwent interventional therapy suffered infections ,with infection rate of 20 .6% ;thereinto ,22 patients suffered respiratory infections ,18 patients suffered general infections and 15 patients suffered urogenital infections ,accounting for 25 .29% ,20 .69% and 17 .24% respectively .Through comparing all the factors of the two groups of patients ,it was indicated that the main risk factors causing nosocomial infections after interventional therapy were old age ,long stay in hospital ,other complicated diseases ,use of breathing machine during hospitalization , indwelling catheter , operation and unreasonable application of antibiotics . CONCLUSIONS Nosocomial infection rate of cerebrovascular patients treated with interventional therapy is high and medical workers should continuously analyze the risk factors causing infections after interventional therapy , establish related preventive measures according to the risk factors to prevent the occurrence of nosocomial infections of cerebrovascular patients treated with interventional therapy .

关 键 词：脑血管病 介入治疗 医院感染 危险因素 预防对策 

分 类 号：R181.32[医药卫生—流行病学]