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目的分析脑血管病医院内感染临床特点的因素,探讨减少神经内科院内感染的对策。方法选择在本院神经内科脑血管病感染的患者1737例,记录感染患者临床资料,并对患者感染临床特点进行研究分析。结果患者院内感染发生率为6.6%,院内感染死亡率为34.2%,与非感染组死亡率两者比较差异有统计学意义(P<0.01);感染部位以呼吸道感染最为多见,年龄越大感染率越高,60岁以上患者感染率占90.4%(103/114);感染病原菌主要以G-菌为主占39.2%。结论医院内感染严重地影响了脑卒中患者的预后,因此有效地预防和积极治疗医院内感染对提高脑卒中患者的治愈率,降低病死率有重要意义。
Objective To analyze the clinical characteristics of nosocomial infections in cerebrovascular disease and to explore ways to reduce nosocomial infections in neurological department. Methods A total of 1737 patients with cerebrovascular disease were admitted to our department of neurology. The clinical data of patients infected were recorded. The clinical characteristics of the patients were analyzed. Results The incidence of nosocomial infection was 6.6%, and the nosocomial infection mortality rate was 34.2%. There was significant difference between the two groups (P <0.01). The most common respiratory infection was infection site, the older The higher the infection rate, the infection rate of patients over the age of 60 accounted for 90.4% (103/114); infection mainly G- bacteria accounted for 39.2%. Conclusion Infection in hospitals seriously affects the prognosis of patients with stroke. Therefore, effective prevention and active treatment of nosocomial infections is of great importance to improve the cure rate and reduce the mortality of patients with stroke.