CAJ | 학술논문

目的：调查急性脑血管疾病患者发生医院感染危险因素，探讨手卫生在控制医院感染中的作用，为降低医院感染的发生提供依据。方法回顾性分析2011年1月－2013年12月1146例急性脑血管疾病患者临床资料，调查分析急性脑血管病患者发生医院感染的危险因素，采用SPSS 11．0软件进行统计分析。结果发生感染64例患者，感染率5．58％；共分离出85株病原菌其中以革兰阴性菌为主，共49株占57．65％；对医院感染的患者进行分析，发现患者的年龄、住院时间、GCS评分、不注重强化手卫生、侵入性操作等是发生医院感染的主要危险因素（P＜0．05）。结论急性脑血管病患者发生医院感染的危险因素较多，强化手卫生对控制急性脑血管病患者医院感染切实有效，临床医师及护理人员应严格控制手部的卫生，降低医院感染的发生。
목적：조사급성뇌혈관질병환자발생의원감염위험인소，탐토수위생재공제의원감염중적작용，위강저의원감염적발생제공의거。방법회고성분석2011년1월－2013년12월1146례급성뇌혈관질병환자림상자료，조사분석급성뇌혈관병환자발생의원감염적위험인소，채용SPSS 11．0연건진행통계분석。결과발생감염64례환자，감염솔5．58％；공분리출85주병원균기중이혁란음성균위주，공49주점57．65％；대의원감염적환자진행분석，발현환자적년령、주원시간、GCS평분、불주중강화수위생、침입성조작등시발생의원감염적주요위험인소（P＜0．05）。결론급성뇌혈관병환자발생의원감염적위험인소교다，강화수위생대공제급성뇌혈관병환자의원감염절실유효，림상의사급호리인원응엄격공제수부적위생，강저의원감염적발생。
OBJECTIVE To investigate the risk factors of nosocomial infections in the patients with acute cerebro‐vascular diseases and study the efficacy of intensive hand hygiene in controlling nosocomial infections ,so as to pro‐vide reference for reducing nosocomial infections .METHODS A retrospective analysis was conducted on clinical data of 1146 patients with acute cerebrovascular diseases from Jan .2011 to Dec .2013 in our hospital to investigate risk factors of nosocomial infections in these patients .The software SPSS 11 .0 was used for statistical analysis . RESULTS Totally 64 patients had infections with the infection rate of 5 .58% .A total of 85 pathogens were isola‐ted ,mainly including 49 strains of gram‐negative bacteria which accounted for 57 .65% .The analysis revealed that age ,hospital stay ,GCS scores ,insufficient enhancement of hand hygiene and invasive operations ,etc .,were main risk factors for nosocomial infections (P<0 .05) .CONCLUSION Many risk factors are related to nosocomial infections in patients with acute cerebrovascular diseases .Strengthening hand hygiene can effectively control this kind of infections .Clinicians and nurses should perform strict hand hygiene to reduce the incidence of nosocomial infections .