中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
23期
17-18
,共2页
神经内科%脑血管病%logistic回归分析%医院感染%危险因素
神經內科%腦血管病%logistic迴歸分析%醫院感染%危險因素
신경내과%뇌혈관병%logistic회귀분석%의원감염%위험인소
Department of internal medicine%Cerebral vascular disease%Logistic regression analysis%Hospital infection%Risk factors
目的：了解神经内科脑血管病患者感染现状及相关危险因素。方法：回顾性分析3573例神经内科脑血管病患者感染临床资料，对医院感染及影响因素进行相关变量因素分析及多因素Logistic回归分析。结果：患者年龄、住院时间、意识障碍、COPD、糖尿病、侵入性操作、抑酸剂使用、预防使用抗菌药物均与医院感染相关(P＜0.05)；高龄、COPD、糖尿病、有意识障碍及有侵入性操作是引起患者发生医院感染的独立危险因素(P＜0.05)。结论：神经内科患者医院感染发生率较高，引起医院感染独立危险因素较多，应针对以上因素进行合理干预，降低医院感染的发生率。
目的：瞭解神經內科腦血管病患者感染現狀及相關危險因素。方法：迴顧性分析3573例神經內科腦血管病患者感染臨床資料，對醫院感染及影響因素進行相關變量因素分析及多因素Logistic迴歸分析。結果：患者年齡、住院時間、意識障礙、COPD、糖尿病、侵入性操作、抑痠劑使用、預防使用抗菌藥物均與醫院感染相關(P＜0.05)；高齡、COPD、糖尿病、有意識障礙及有侵入性操作是引起患者髮生醫院感染的獨立危險因素(P＜0.05)。結論：神經內科患者醫院感染髮生率較高，引起醫院感染獨立危險因素較多，應針對以上因素進行閤理榦預，降低醫院感染的髮生率。
목적：료해신경내과뇌혈관병환자감염현상급상관위험인소。방법：회고성분석3573례신경내과뇌혈관병환자감염림상자료，대의원감염급영향인소진행상관변량인소분석급다인소Logistic회귀분석。결과：환자년령、주원시간、의식장애、COPD、당뇨병、침입성조작、억산제사용、예방사용항균약물균여의원감염상관(P＜0.05)；고령、COPD、당뇨병、유의식장애급유침입성조작시인기환자발생의원감염적독립위험인소(P＜0.05)。결론：신경내과환자의원감염발생솔교고，인기의원감염독립위험인소교다，응침대이상인소진행합리간예，강저의원감염적발생솔。
Objective:To understand the infection status and related risk factors of patients with cerebrovascular disease in the department of neurological internal medicine.Methods:3 573 patients with cerebrovascular disease in the department of neurological internal medicine were selected.Their infections data in clinical were retrospectively analyzed,and the relationship between hospital infection and its influencing factors were estimated using related variables analysis and multivariate logistic regression analysis.Results:The age of patients,hospitalization time,disturbance of consciousness,COPD,diabetes,intrusive operation,anti acid agent,and prophylactic use of antimicrobial drugs were related with hospital infection(P<0.05);advanced age, COPD,diabetes,disturbance of consciousness and invasive operation were independent risk factors on nosocomial infection of patients(P<0.05).Conclusion:The nosocomial infection rate is higher in the department of neurology.There are many independent risk factors causing hospital infection,so we should taken reasonable intervention for those above factors,to reduce the incidence of hospital infection.
