脑梗死患者医院感染危险因素分析

Risk factors analysis of nosocomial infection for cerebral infarction

关键词:  脑梗死  医院感染  危险因素

Key words:  cerebral infarction  hospital infection  risk factors.

摘要:

［目的］ 探讨脑梗死患者发生医院感染的危险因素，采取相应的预防措施。［方法］ 对158例脑梗死患者临床资料进行回顾性分析，将158例脑梗死患者按有无医院感染的发生分为两组，探讨其发生医院感染的危险因素。［结果］ 对10种可能的危险因素进行单因素分析，有5种呈现显著性差异（P<0.05），比值比（OR）均大于1。对后者进行多因素非条件性Logistic回归分析表明：意识障碍、呛咳、排尿功能障碍、抗生素的应用及住院时间为医院感染的独立危险因素。［结论］ 脑梗死患者医院感染的发生是多种因素综合作用的结果，因此预防措施应是全方面的。

Abstract:

［Objective］ To investigate risk factors of hospital infection for patients with cerebral infarction. ［Methods］ In this retrospective analyzethe clinical data of 158 patients with cerebral infarction.They were divided into nosocomial infection groups and non nosocomial infection groups, To investigate risk factors on nosocomial infection.［Results］ To univariate analyze for 10 kinds probable risk factors, there were the significant differences on 5 kinds risk factors (P<0.05),odd ratio (OR>1).Multivariate logistic regression analysis revealed that disorders of consciousness, dysphagia caused cough,abnormal micturition,using antibiotics and time of hospitalization were independent risk factors for hospital infection. ［Conclusion］To cerebral infarction,hospital infection were caused by many factors ,so we should adopt all-around measure of prevention.