大面积脑梗死医院感染危险因素与控制对策

杨艳丽，胡曦，罗秋香，舒东，郑福容，吴宗倩

（四川省科学城医院神经内科，四川 绵阳，621999）

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摘要：

目的 分析大面积脑梗死患者医院感染的危险因素与控制对策，为防控脑梗死患者医院感染提供依据。方法 选取2012年6月至2015年8月我院收治的785例大面积脑梗死患者，统计医院感染的发生情况，比较不同患者的基本情况（性别、年龄、营养状态及吸烟史）及治疗情况（住院时间、侵入性操作及基础疾病）的医院感染率。采用Logistic回归性分析大面积脑梗死患者医院感染的危险因素。结果 785例大面积脑梗死患者中共发生57例医院感染，感染率为7.26%，且呼吸道感染发生率明显高于其他部位感染率（P<0.05）。不同性别患者的感染率比较，无明显差异（P>0.05）；不同年龄、营养状态、吸烟史及住院时间、侵入性操作、基础疾病患者的感染率比较，差异具有统计学意义（P<0.05）。Logistic回归分析显示，年龄较大、营养状态较差、吸烟史、住院时间长、侵入性操作及伴发基础疾病为大面积脑梗死医院感染的危险因素。57例医院感染患者经治疗后感染均得到有效控制。结论 大面积脑梗死患者医院感染发生率较高，且年龄较大、营养状态较差、吸烟史、住院时间较长、侵入性操作及伴发基础疾病均是其危险因素，临床应给予针对性的干预控制，有效降低医院感染的发生率。

关键词：大面积脑梗死；医院感染；危险因素；控制对策

中图分类号：R743.3文献标志码：A文章编号：2096-1413(2017)19-0097-03

Risk factors and control strategies of nosocomial infection in patients with large area cerebral infarction
YANG Yan-li, HU Xi, LUO Qiu-xiang, SHU Dong, ZHENG Fu-rong, WU Zong-qian


(Department of Neurology, Sichuan Science City Hospital, Mianyang 621999, China)

ABSTRACT: Objective To analyze the risk factors and control strategies of nosocomial infection in patients with large area cerebral infarction, and provide basis for the prevention and control of nosocomial infection in patients with cerebral infarction. Methods A total of 785 patients with large area cerebral infarction admitted in our hospital from June 2012 to August 2015 were selected as the research objects. The incidence of nosocomial infection was analyzed, then the basic situation (gender, age, nutritional status and smoking history) and treatment situation (hospitalization time, invasive operation and basic disease) were compared between different infection patients. The risk factors of nosocomial infection in patients with large area cerebral infarction were analyzed with Logistic regression analysis. Results There were 57 cases of nosocomial infection in 785 patients with large area cerebral infarction, the infection rate was 7.26%, the rate of respiratory infection was obviously higher than those of other infections (P<0.05). There was no significant difference in the infection rates among patients with different sexes (P>0.05). The infection rates of patients with different age, nutritional status, smoking history, hospitalization time, invasive operation and basic disease had statistically significant differences (P<0.05). Logistic regression analysis showed that old age, poor nutritional status, smoking history, long hospitalization time, invasive operation and basic disease were the risk factors for nosocomial infection in patients with large area cerebral infarction. After treatment, the infection was effectively controlled in 57 patients with nosocomial infection. Conclusion The nosocomial infection rate of patients with large area cerebral infarction is high, and the higher age, worse nutritional status, smoking history, longer hospitalization time, invasive operation and basic disease are risk factors. It is necessary to give targeted clinical intervention, so as to reduce the incidence rate of nosocomial infection.
KEYWORDS: large area cerebral infarction; nosocomial infection; risk factors; countermeasure of control

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