医院感染对急性脑卒中近期预后的影响分析  

Effect of hospital infections on the short-term prognosis of acute stroke

作　　者：冯自明[1] 祁家祥 薛文俊[3] 

机构地区：[1]平顶山市第一人民医院院长办公室,河南平顶山467000 [2]平顶山市第一人民医院老年病科,河南平顶山467000 [3]平顶山市第一人民医院卒中单元,河南平顶山467000

出　　处：《中华医院感染学杂志》2014年第16期4020-4022,共3页Chinese Journal of Nosocomiology

基　　金：河南科技厅重点基金资助项目(XP5898PX)

摘　　要：目的分析感染对急性脑卒中近期预后的影响,为临床提供参考依据。方法选择2010年6月-2013年6月医院收治急性脑卒中患者828例,分为非感染组650例与感染组178例,统计脑卒中后感染部位,比较两组入院时和入院后的卒中量表(NIHSS)评分、并发症发生率、病死率、住院时间。结果 828例急性脑卒中患者发生医院感染178例,感染率21.33%,感染的部位主要为呼吸道、消化道、尿道,分别占76.97%、19.10%、3.93%;入院21d后,非感染组患者的NIHSS评分为(2.63±1.16)分,明显低于感染组的(3.77±1.28)分;非感染组患者的改善值也明显高于感染组患者;非感染组患者并发症发生率为12.92%,明显低于感染组的57.30%;非感染组患者病死率为0.92%,明显低于感染组的3.93%;非感染组患者住院时间(20±13)d,明显低于感染组的(33±21)d,差异均有统计学意义(P<0.05)。结论感染显著增加了急性脑卒中患者的致残率和病死率,临床上应引起足够的重视,并采取有效防治措施,提高急性脑卒中患者的预后。OBJECTIVE To analyze the effect of infections on the short-term prognosis of acute stroke,and to provide reference for clinical treatment.METHODS A total of 828 patients with acute stroke hospitalized between Jun.2010 and Jun.2013 were selected,and divided into the non-infected group（650cases）and the infected group（178cases）.The infection site after stroke was analyzed,and the NIHSS score,incidence of complications,mortality,and hospitalization time were compared between the two groups.RESULTS Infection was found in 178 patients out of the 828 cases of patients with acute stroke,accounting for 21.33%.The main infection sites were respiratory tract,gastrointestinal tract,and urinary tract,which accounted for 76.97%,19.10%,and 3.93%,respectively.After 21 dhospitalization,the NIHSS score was（2.63±1.16）in the non-infected group,significantly lower than that in the infected group（3.77±1.28）.The improvement in the non-infected group was also significantly better than that in the infected group.The incidence rate of complications in the non-infected group was 12.92%,significantly lower than that in the infected group（57.30%）.The mortality rate in the non-infected group was 0.92%,while the value in the infected group was 3.93%.The hospitalization time in the non-infected group was（20±13）days,significantly lower than that in the infected group（33±21）days（P0.05）.CONCLUSION Infection significantly increased the morbidity and mortality in patients with acute stroke,which should cause enough attention in clinic,and effective measures should be taken to improve the prognosis of patients with acute stroke.

关 键 词：急性脑卒中 医院感染 预后 

分 类 号：R181.32[医药卫生—流行病学]