摘要
目的:探讨脑卒中住院康复患者发生尿路感染的危险因素。方法:采用回顾性调查方法,收集268例脑卒中首次住院康复患者一般临床资料,包括性别、年龄、住院时间、病程、Brunnstrom分期、Barthel指数、有无留置导尿、有无认知障碍、有无失语症、既往高血压病史、既往糖尿病病史、吸烟饮酒史、白蛋白及血红蛋白指标。按有无尿路感染分2组,观察并分析2组一般临床资料,分析分类变量之间的差异,对所有变量再进行多因素Logistic逐步回归分析。结果:2组间性别、年龄、住院时间、病程、Barthel指数、Brunnstrom分期(上肢-手-下肢)、留置导尿、白蛋白含量、血红蛋白含量、失语症差异有显著性意义(P<0.05);多因素Logistic逐步回归分析显示,性别、住院时间、Barthel指数、留置导尿是发生尿路感染的独立危险因素(P<0.05,0.01)。结论:性别、住院时间、Barthel指数、留置导尿是发生尿路感染的独立危险因素,针对这些危险因素,采取积极有效预防措施,有助预防尿路感染发生。
引文
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