护理学报
護理學報
호이학보
JOURNAL OF NURSING
2013年
2期
67-68
,共2页
何双兰%国泽延%陈韫琴%吴润娇%李环波%兰丽梅%陈四萍%王建军
何雙蘭%國澤延%陳韞琴%吳潤嬌%李環波%蘭麗梅%陳四萍%王建軍
하쌍란%국택연%진운금%오윤교%리배파%란려매%진사평%왕건군
脑血管意外%SIRS评分%医院感染%预后%相关性
腦血管意外%SIRS評分%醫院感染%預後%相關性
뇌혈관의외%SIRS평분%의원감염%예후%상관성
cerebrovascular accident%SIRS score%nosocomial infection%prognosis%correlation
目的评价老年脑血管意外患者全身炎症反应综合征(systemic inflammatory response syndrome,SIRS)评分与发生医院感染及预后的相关性.方法本研究共收集187例神经内科的患者,对患者入院72 h内进行 SIRS评分,并对其发生医院感染与预后进行前瞻性统计.结果187例病例中,发生医院感染34例,医院感染发生率18%;死亡23例,死亡率12%;随着 SIRS评分增加,医院感染发生率、患者死亡率有增加的趋势(P<0.05).结论住院超过24 h且SIRS评分≥2分的老年脑血管意外患者应高度警惕医院感染发生的可能性,早期给予相应的干预措施,阻断由SIRS进一步进展到多器官功能衰竭的可能性.SIRS评分系统项目简单,方便操作,为指导临床预测患者的预后提供了又一重要方法,熟练掌握并应用于临床实践中将有助于对患者病情估计和有效诊治,具有良好的临床应用和科研价值.
目的評價老年腦血管意外患者全身炎癥反應綜閤徵(systemic inflammatory response syndrome,SIRS)評分與髮生醫院感染及預後的相關性.方法本研究共收集187例神經內科的患者,對患者入院72 h內進行 SIRS評分,併對其髮生醫院感染與預後進行前瞻性統計.結果187例病例中,髮生醫院感染34例,醫院感染髮生率18%;死亡23例,死亡率12%;隨著 SIRS評分增加,醫院感染髮生率、患者死亡率有增加的趨勢(P<0.05).結論住院超過24 h且SIRS評分≥2分的老年腦血管意外患者應高度警惕醫院感染髮生的可能性,早期給予相應的榦預措施,阻斷由SIRS進一步進展到多器官功能衰竭的可能性.SIRS評分繫統項目簡單,方便操作,為指導臨床預測患者的預後提供瞭又一重要方法,熟練掌握併應用于臨床實踐中將有助于對患者病情估計和有效診治,具有良好的臨床應用和科研價值.
목적평개노년뇌혈관의외환자전신염증반응종합정(systemic inflammatory response syndrome,SIRS)평분여발생의원감염급예후적상관성.방법본연구공수집187례신경내과적환자,대환자입원72 h내진행 SIRS평분,병대기발생의원감염여예후진행전첨성통계.결과187례병례중,발생의원감염34례,의원감염발생솔18%;사망23례,사망솔12%;수착 SIRS평분증가,의원감염발생솔、환자사망솔유증가적추세(P<0.05).결론주원초과24 h차SIRS평분≥2분적노년뇌혈관의외환자응고도경척의원감염발생적가능성,조기급여상응적간예조시,조단유SIRS진일보진전도다기관공능쇠갈적가능성.SIRS평분계통항목간단,방편조작,위지도림상예측환자적예후제공료우일중요방법,숙련장악병응용우림상실천중장유조우대환자병정고계화유효진치,구유량호적림상응용화과연개치.
Objective To explore the relationship among the score of Systemic Inflammatory Response Syndrome (SIRS), nosocomial infection and prognosis in elderly patients with cerebrovascular accident. Methods Data were collected from 187 patients admitted in Dept. of Neurology and their SIRS scores were calculated within 72 hours. The occurrence of hospital infection and its prognosis were prospectively investigated. Results Of the total, 34 cases were with hospital infection, with the nosocomial infection occurrence of 18%, while 23 cases died, with the mortality rate of 12%; the nosocomial infection and mortality rates increased with the increase of SIRS score, which presented a linear correlation (P<0.05). Conclusion It suggests that for elderly patients with cerebrovascular accident, once admitted more than 24 h and with SIRS score of more than 2 points, they should be highly alert to the possibility of nosocomial infection, and early interventions is indispensable. SIRS score system project is easy to operate and provide an important method for assessing the risk of infection in patients with cerebrovascular accident, which is meaningful for clinical application and research.