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目的研究脑血管病患者发生医院感染的因素,探讨防控对策。方法通过回顾性调查对某医院神经内科收治的2 120例脑血管病患者进行了调查与分析。结果在2 120例脑血管病患者中,发生医院感染268例,感染率为12.64%。感染部位以呼吸道为主,构成比为73.13%,其中下呼吸道感染占51.12%;其次是泌尿道45例,胃肠道14例,导管相关感染7例。脑血管病医院感染危险因素主要有基础病、高龄、住院时间和卧床时间长以及侵入性操作等。结论该医院脑血管病医院感染发生率较高,主要是呼吸道感染,长期住院和卧床以及侵入性操作构成主要危险因素。
Objective To study the factors of nosocomial infection in patients with cerebrovascular disease and to explore the prevention and control measures. Methods A retrospective survey was conducted on 2 120 cases of cerebrovascular disease admitted to a hospital neurology department. Results Among 2 120 cases of cerebrovascular disease, 268 cases of nosocomial infection occurred and the infection rate was 12.64%. Infected parts of the main respiratory tract, the constituent ratio was 73.13%, of which lower respiratory tract infection accounted for 51.12%; followed by 45 cases of urinary tract, gastrointestinal tract in 14 cases, catheter-related infection in 7 cases. Cerebrovascular disease The main risk factors for nosocomial infection are underlying diseases, advanced age, length of stay and bed rest, and invasive procedures. Conclusion The incidence of nosocomial infections of cerebrovascular disease in this hospital is high, mainly due to respiratory infection, long-term hospitalization, bed rest and invasive operation.