本文選題：高血壓腦出血　切入點(diǎn)：醫(yī)院感染　出處：《中華醫(yī)院感染學(xué)雜志》2017年11期 　論文類型：期刊論文

【摘要】：目的探究高血壓腦出血患者醫(yī)院感染的病原學(xué)特點(diǎn)和對其危險因素進(jìn)行分析,為臨床預(yù)防、治療提供依據(jù)。方法選擇2014年1月-2015年12月在醫(yī)院住院治療的高血壓腦出血患者120例,詳細(xì)記錄其臨床資料、入院診斷、生活習(xí)慣、相關(guān)基礎(chǔ)疾病史、個人史、住院時間、是否存在侵入性操作、藥物使用、臨床感染發(fā)生的部位等,分析患者醫(yī)院感染的相關(guān)危險因素以及病原菌藥敏結(jié)果和預(yù)后。結(jié)果 120例高血壓腦出血患者中共有47例發(fā)生醫(yī)院感染,感染率為39.2%,感染58例次,例次感染率48.3%;年齡≥65歲,有吸煙史、給予留置胃管、血常規(guī)檢查白細(xì)胞升高、血清白蛋白水平低下、GCS評分過低、腦出血60ml以及血糖水平8mmol/L等均為腦出血患者醫(yī)院感染的相關(guān)危險因素(P0.05);其中年齡≥65歲、吸煙史、GCS評分低、留置胃管、白細(xì)胞數(shù)目升高、患者白蛋白低下均是影響患者發(fā)生醫(yī)院感染的相關(guān)獨(dú)立危險因素(P0.05);病原菌主要以革蘭陰性菌為主占72.9%,其中腸桿菌屬、銅綠假單胞菌分別占18.6%、16.9%。結(jié)論引發(fā)高血壓腦出血患者并發(fā)醫(yī)院感染的危險因素主要與患者的年齡、吸煙、留置胃管、GCS評分以及白細(xì)胞、血清白蛋白水平等相關(guān),同時在治療高血壓腦出血患者時要依據(jù)藥敏結(jié)果,合理有效、規(guī)范安全地選擇抗菌藥物,積極有效地控制高血壓腦出血患者的感染率,提高患者的治愈率。
[Abstract]:Objective to investigate the etiological characteristics and risk factors of nosocomial infection in patients with hypertensive intracerebral hemorrhage. Methods 120 patients with hypertensive intracerebral hemorrhage who were hospitalized in hospital from January 2014 to December 2015 were selected and their clinical data, admission diagnosis, life habits, history of related basic diseases, personal history, length of stay were recorded in detail. Whether there are invasive operations, drug use, clinical infection sites, etc. Results there were 47 cases of nosocomial infection in 120 patients with hypertensive intracerebral hemorrhage, the infection rate was 39.2, 58 cases were infected, the infection rate was 48.3 years old, the age was 鈮，

本文編號：1560439