脑出血患者医院感染的危险因素分析  

Analysis of risk factors for nosocomial infections in patients with intracerebral hemorrhage

作　　者：毕堃 陆斌[1] 尹文伟 陈思[1] 

机构地区：[1]唐山市工人医院神经外科,河北唐山063000

出　　处：《中华医院感染学杂志》2015年第13期3052-3053,3056,共3页Chinese Journal of Nosocomiology

基　　金：河北省科技厅研究基金资助项目(054687-S7)

摘　　要：目的分析脑出血患者医院感染的危险因素,为降低医院感染率提供依据。方法回顾性分析2011年10月-2013年3月在精神内科接受治疗的348例脑出血患者临床资料,调查患者发生医院感染的相关影响因素,采用SPSS18.0软件进行数据统计,使用logistic进行多因素相关分析。结果 348例患者中发生医院感染23例,感染率为6.6%,其中呼吸道感染17例,占73.9%;患者有吸烟史、糖尿病史、慢性支气管炎、低蛋白血症以及入院时GCS评分是其发生医院感染的独立危险因素;住院天数与患者感染发生率呈正相关,比较其差异有统计学意义(P<0.05)。结论影响患者发生医院感染的因素较多,应采取合理且有效的对策,减少医院感染的发生率。OBJECTIVE To analyze risk factors for nosocomial infections in patients with intracerebral hemorrhage so as to provide references for reducing nosocomial infections .METHODS From Oct .2011 to Mar .2013 ,the clini‐cal data of 348 cases of patients with cerebral hemorrhage in the department of psychiatry in our hospital were ana‐lyzed retrospectively .The factors related to hospital infections were investigated .SPSS 18 .0 software was adopted for data statistics and logistic was used to analyze multiple related factors .RESULTS Among the 348 patients ,23 cases of them occurred nosocomial infections with the rate of 6 .6% ,including 17 cases of respiratory tract infec‐tions ,accounting for 73 .9% .The patient＇s history of smoking ,diabetes mellitus ,chronic bronchitis ,hypoalbu‐minemia and GCS score when being admitted were independent risk factors for nosocomial infections .Survey re‐sults showed that the hospitalization time and the incidence of infections were positively correlated .The difference was significant （P〈0 .05） .CONCLUSION Many factors are related to nosocomial infections .Reasonable and ef‐fective measures should be taken to reducing the occurrence rate of hospital infections .

关 键 词：脑出血 患者 医院感染 危险因素 

分 类 号：R181.32[医药卫生—流行病学]