中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
10期
1022-1024
,共3页
赵惠荣%郑秀芬%王秀艳%刘春红%郭晶%王立英
趙惠榮%鄭秀芬%王秀豔%劉春紅%郭晶%王立英
조혜영%정수분%왕수염%류춘홍%곽정%왕립영
老年患者%脑梗死%医院感染%易感因素
老年患者%腦梗死%醫院感染%易感因素
노년환자%뇌경사%의원감염%역감인소
Elder patients%Cerebral infarction%Nosocomial infection%Predisposing factors
目的 总结老年脑梗死患者医院感染的临床特征及易感因素.方法 采用回顾性调查方法,分析2011年1月至2013年6月干部病房住院≥60岁的302例脑梗死患者的临床资料,统计医院感染发生率并分析其影响因素.结果 在302例脑梗死患者中,发生医院感染46例,发生率为15.23％.感染部位以下呼吸道为主,占60.87％ (28/46);其次是泌尿系,占21.74％ (10/46).患者年龄大、住院时间长、意识障碍、有侵入性操作以及使用多种抗生素是导致老年脑梗死患者发生医院感染的易感因素(x2值分别为5.720、11.517、5.185、4.218、11.931,P均＜0.05).结论 关注老年脑梗死患者医院感染的易感因素,尽快控制病情,缩短住院时间,减少侵袭性操作,合理使用抗生素,可降低医院感染发生率.
目的 總結老年腦梗死患者醫院感染的臨床特徵及易感因素.方法 採用迴顧性調查方法,分析2011年1月至2013年6月榦部病房住院≥60歲的302例腦梗死患者的臨床資料,統計醫院感染髮生率併分析其影響因素.結果 在302例腦梗死患者中,髮生醫院感染46例,髮生率為15.23％.感染部位以下呼吸道為主,佔60.87％ (28/46);其次是泌尿繫,佔21.74％ (10/46).患者年齡大、住院時間長、意識障礙、有侵入性操作以及使用多種抗生素是導緻老年腦梗死患者髮生醫院感染的易感因素(x2值分彆為5.720、11.517、5.185、4.218、11.931,P均＜0.05).結論 關註老年腦梗死患者醫院感染的易感因素,儘快控製病情,縮短住院時間,減少侵襲性操作,閤理使用抗生素,可降低醫院感染髮生率.
목적 총결노년뇌경사환자의원감염적림상특정급역감인소.방법 채용회고성조사방법,분석2011년1월지2013년6월간부병방주원≥60세적302례뇌경사환자적림상자료,통계의원감염발생솔병분석기영향인소.결과 재302례뇌경사환자중,발생의원감염46례,발생솔위15.23％.감염부위이하호흡도위주,점60.87％ (28/46);기차시비뇨계,점21.74％ (10/46).환자년령대、주원시간장、의식장애、유침입성조작이급사용다충항생소시도치노년뇌경사환자발생의원감염적역감인소(x2치분별위5.720、11.517、5.185、4.218、11.931,P균＜0.05).결론 관주노년뇌경사환자의원감염적역감인소,진쾌공제병정,축단주원시간,감소침습성조작,합리사용항생소,가강저의원감염발생솔.
Objective To analyze the clinical characteristics and risk factors of nosocomial infection (NI) in elder patients with cerebral infarction Methods A retrospective study was performed.Three hundred and two patients over 60 years old with cerebral infarction were selected as our subjects,who were in a cadre ward from Jan.2011 to Jun.2013.The incidence rate of NI and the predisposing factors of NI were investigated.Results Of 302 patients with cerebral infarction,46 cases developed NI and the incidence was 15.23％.The most common site of NI was lower respiratory tract infection,counting for 60.87％ (28/46),followed by urinary tract infection(21.74％ (10/46)).The risk factors of NI included age,prolonged hospitalization,disturbance of consciousness,invasive operation and the use of antibiotics (x2 =5.720,11.517,5.185,4.218,11.931 ; P ＜ 0.05).Conclusion The clinical staff should pay close attention to the risk factors of NI in elder patients with cerebral infarction.The methods include controlling the disease as soon as possible,shortening hospital stays,reducing invasive operation and the rational use of antibiotics can reduce the incidence of NI.
