《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (08): 780-781.

• 临床观察 • 上一篇    下一篇

脑瘫患儿医院感染状况及危险因素分析

雷新云   

  1. 湖北省妇幼保健院,湖北武汉市 430070
  • 收稿日期:2008-03-25 出版日期:2008-08-01 发布日期:2008-08-01

Status and Risk Factors of Nosocomial Infection in Cerebral Palsy Children

LEI Xin-yun   

  1. HubeiMaternal and Child Hospital, Wuhan 430070, Hubei, China
  • Received:2008-03-25 Published:2008-08-01 Online:2008-08-01

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摘要： 目的分析脑瘫患儿医院感染的影响因素,为制定控制医院感染措施提供依据。方法回顾性分析1646例脑瘫患儿的临床资料,通过院内感染患儿的感染部位、感染时间、年龄、住院时间、喂养方式等影响因素,分析感染原因。结果1646例脑瘫患儿发生医院感染556例,感染率33.78%,感染部位以呼吸道为主(80.97%),感染对象以2岁以下儿童为主,发生感染的患儿在连续康复治疗过程中多数再次发生呼吸道或胃肠道感染,抵抗力明显低于同龄正常儿。发生医院感染的易感月份为每年的3月、4月和11月、12月。结论抵抗力低下、年龄小、住院时间长、季节变化、陪护家长多及室内通风不畅等是本组脑瘫患儿医院感染发生率高的主要原因。

关键词: 脑性瘫痪, 医院感染, 影响因素, 预防

Abstract: Objective To investigate the risk factors of nosocomial infection in children with cerebral palsy(CP).Methods The clinical data including infection part,infection time,age,the length of hospitalization,feeding patterns of 1 646 CP children was retrospectively investigated.Results 556 CP children got nosocomial infection.The nosocomial infection rate was 33.78%,the most common infection site was respiratory tract(80.97%),and the age of the most children infected was <2 years.March,April,November and December were the seasons easy to occur nosocomial infection.Conclusion Hypoimmunity,more young,longer hospitalization,season change,more companion and ventilation obstructed indoor maybe the important risk factors which leading a higher nosocomial infection rate among the CP children.

Key words: cerebral palsy, nosocomial infection, risk factor, precaution