【摘要】 目的:分析老年脑血管意外患者全身炎症反应综合征评分(SIRS)与医院感染相关性情况,提出处理对策。方法:选择2015年1月~2016年12月来我院就诊的128例脑血管意外患者为研究对象,在患者入院后72 h进行SIRS评分,分析其医院感染情况和预后情况。结果:128例患者中有24例发生院内感染,发生部位前3位分别为下呼吸道、上呼吸道和泌尿道。SIRS评分越高,院内感染发生率越大,死亡率越高,呈现上升趋势。结论:住院时间在24 h以上,SIRS分数在2分以上者应警惕医院感染发生,每天实施SIRS评分,第一时间发现异常情况,并给予针对性处理措施,可促进疾病转归,提升预后结局。更多还原

【Abstract】 Objective: To analyze the correlation between systemic inflammatory response syndrome( SIRS) and nosocomial infection in elderly patients with cerebrovascular accident,and to propose countermeasures. Methods: A total of 128 patients with cerebrovascular accident who were treated in our hospital from January 2015 to December 2016 were selected as the subjects. SIRS score was performed 72 hours after admission,and the hospital infection and prognosis were analyzed. Results: Among the 128 patients,24 patients had nosocomial infection,and the first three were lower respiratory tract,upper respiratory tract and urinary tract. The higher the SIRS score,the greater the incidence of nosocomial infection was and the higher the mortality rate was,showing an upward trend. Conclusion: When the hospitalization time is more than 24 hours,SIRS score should be more than 2 points and it should be alert to the occurrence of nosocomial infection. The implementation of SIRS score should be carried out every day and the first time to find abnormal circumstances and to give targeted treatment measures,which can promote disease outcome.更多还原