高血压脑出血患者术后发生院内感染的危险因素分析及其防治措施

目的:分析高血压脑出血患者术后发生院内感染的危险因素及其防治措施。方法:抽取2017年2月—2019年10月期间收治接受手术治疗的高血压脑出血患者271临床资料进行回顾分析,统计其术后发生院内感染原因,并对导致院内感染发生的危险因素提出防治对策。结果:271例手术患者中,发生院内感染66例(占24.35%),其中肺部感染发生率(占53.06%);经单因素、多因素Logistic回归分析发现,导致高血压脑出血患者发生院内感染与患者年龄≥60岁、有吸烟史、白细胞计数≥10×10~9/L、白蛋白水平<13 g/L、GCS评分值<8分、侵入性操作和住院时间≥14 d具有相关性(P<0.05),为独立危险因素。结论:高血压脑出血患者术后发生院内感染的影响因素较多,临床应重视其影响因素,做好防治措施,以减少院内感染的发生,确保患者治疗的安全性。

Analysis on Risk factors of Inducing Nosocomial Infection in Patients with Hypertensive Intracerebral Hemorrhage and its countermeasures

Objective:To analyze the risk factors of inducing nosocomial infection in patients with hypertensive cerebral hemorrhage.Methods:The clinical data of 271 patients with hypertensive intracerebral hemorrhage admitted for surgical treatment from February 2017 to October 2019 were retrospectively analyzed,the causes of postoperative nosocomial infection were statistically analyzed,and the prevention and treatment measures were proposed for the risk factors leading to nosocomial infection.Results:Among the 271 patients,the 66 patients of nosocomial infection were induced(24.35%),and the incidence of pulmonary infection accounted for 53.06%.Univariate and multivariate Logistic regression analysis showed that the incidence of nosocomial infection in patients with hypertensive cerebral hemorrhage was correlated with the patient’s age(greater than or equal to 60 years),smoking history,white blood cell count(greater than or equal to 10×10~9/L),albumin level(less than 13 g/L),GCS score(less than 8 points),invasive operation and length of stay greater than or equal to 14 days(P<0.05),which were independent risk factors.Conclusion:There are many influencing factors of nosocomial infection in patients with hypertensive intracerebral hemorrhage after operation,so clinical attention should be paid to its influencing factors;prevention and treatment measures should be taken to reduce the occurrence of nosocomial infection and to ensure the safety of treatment in patients.