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目的研究住院脑卒中患者部感染的危险因素,探讨预防措施。方法通过回顾性调查与资料分析方法,对某医院神经内科住院脑卒中患者资料进行回顾性分析,调查肺部感染及其影响因素。结果共调查该医院神经内科脑卒中患者673例,发生肺部感染患者47例,感染率为6.98%。患者年龄、意识状态和卧床时间、基础疾病和侵入性操作等因素与患者肺部感染有密切关系。从感染患者送检标本中检出病原菌54株,包括革兰阴性杆菌31株,革兰阳性球菌19株,真菌4株。结论该医院神经内科脑卒中患者容易发生肺部感染,且真菌感染占一定比例,应当采取针对危险因素相关的防控措施。
Objective To study the risk factors of infection in hospitalized patients with stroke and to explore the preventive measures. Methods Retrospective investigation and data analysis methods were used to retrospectively analyze the data of hospitalized stroke patients in neurology department of a hospital to investigate the pulmonary infection and its influencing factors. Results A total of 673 stroke patients were admitted to the hospital neurology department. 47 patients were infected with pulmonary infection and the infection rate was 6.98%. Patient age, consciousness and bed time, underlying diseases and invasive procedures and other factors are closely related to patients with pulmonary infection. 54 strains of pathogens were detected from the infected patients, including 31 Gram-negative bacilli, 19 Gram-positive cocci and 4 fungi. Conclusion The patients with stroke in Department of Neurology of the hospital are prone to pulmonary infection, and fungal infections account for a certain proportion. Therefore, prevention and control measures should be taken according to risk factors.