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目的 :探讨神经内科疾病医院内感染的临床特点和相关危险因素。方法 :回顾性分析 1999～ 2 0 0 0年神经内科 179例医院内感染 (脑血管病组 15 0例 ,其它神经病组 2 9例 )有关临床资料。结果 :神经内科疾病医院内感染率为同期神经内科住院病人的4 8%。院内感染的临床特点 ,脑血管病组以高年龄、意识障碍重、合并症多为突出 ;其它神经疾病组以免疫抑制剂、机械呼吸的应用为突出。感染的相关危险因素与侵入性操作、多种抗生素的不合理应用及制酸剂有关。结论 :脑血管病和免疫抑制患者应作为神经内科医院内感染的监测对象 ,要积极控制危险因素
Objective: To investigate the clinical characteristics and related risk factors of nosocomial infections in neurological diseases. Methods: The clinical data of 179 cases of nosocomial infections (150 cases of cerebrovascular disease and 29 cases of other neuropathies) in the department of neurology from 1999 to 2000 were retrospectively analyzed. Results: The rate of nosocomial infections in neurological diseases was 48% of in-patients with neurology in the same period. The clinical characteristics of nosocomial infection, cerebrovascular disease group with high age, disturbance of consciousness, complications were more prominent; other neurological disease group with immunosuppressive agents, mechanical breathing as the highlight. The risk factors associated with infection are associated with invasive procedures, the irrational use of multiple antibiotics and antacids. Conclusion: Patients with cerebrovascular disease and immunosuppression should be monitored as nosocomial infections in neurology department. Active management of risk factors