目的观察中西医治疗缺血性脑卒中的临床疗效及医院感染的发生情况。方法回顾性分析215例缺血性脑卒中患者的临床资料。结果神经功能缺损程度评分由用药前的(25.4±5.4)分降低至(12.2±3.8)分,临床总有效率为90.2%;医院感染发生率为10.2%,以下呼吸道感染为主,占54.6%;革兰阴性菌占77.3%,革兰阳性菌占18.2%,真菌占4.5%;分布最多的病原菌为肺炎克雷伯菌、大肠埃希菌和金黄色葡萄球菌,分别占36.4%、18.2%和13.7%。结论中西医结合治疗缺血性脑卒中临床疗效较好,但缺血性脑卒中医院感染发生率相对较高,应引起临床重视。 Objective To observe the clinical curative effect of Western and Chinese medical treatment of ischemic stroke and the occurrence of nosocomial infection. Methods The clinical data of 215 ischemic stroke patients were retrospectively analyzed. Results The score of neurological deficit decreased from (25.4 ± 5.4) points to (12.2 ± 3.8) points before treatment and the total clinical effective rate was 90.2%. The incidence of nosocomial infection was 10.2%. The following respiratory infections accounted for 54.6% ; Gram-negative bacteria accounted for 77.3%, Gram-positive bacteria accounted for 18.2%, fungi accounted for 4.5%; the most distributed pathogens were Klebsiella pneumoniae, Escherichia coli and Staphylococcus aureus, accounting for 36.4%, 18.2% And 13.7%. Conclusion Integrative treatment of ischemic stroke clinical efficacy is better, but the incidence of ischemic stroke hospital infection is relatively high, should cause clinical attention.