卒中后肺炎的危险因素及应用A2DS2评分预测卒中后肺炎的发生

发布时间：2018-02-11 04:22

  本文关键词： 卒中 肺炎 危险因素　出处：《中华疾病控制杂志》2014年09期 　论文类型：期刊论文

【摘要】：目的探讨急性脑卒中患者肺炎发生的危险因素,评价A2DS2评分对卒中后肺炎预测的准确程度。方法收集418例急性脑卒中患者资料分别应用单因素及多因素Logistic回归分析卒中后肺炎发生的危险因素。应用受试者工作特征(receiver operating characteristic,ROC)曲线评价A2DS2评分对卒中后肺炎诊断的准确性。结果卒中后肺炎发生率为23.92%。其中高龄、男性、吸烟史、吞咽困难、肺部基础疾病史、应用质子泵抑制剂或H2受体阻断剂、NIHSS评分中5～15分及≥16分以上、房颤、留置胃管是卒中后肺炎发生的独立危险因素(均有P0.05)。ROC曲线结果分析,曲线下面积为0.888,在评分为5分时其正确指数最高。结论高龄、男性、吸烟史、吞咽困难、NIHSS评分中≥5及以上、留置胃管等是卒中后肺炎发生的独立危险因素。A2DS2评分可很好用于卒中后肺炎发生的预测,对于指导卒中后肺炎防治有重要意义。
[Abstract]:Objective to investigate the risk factors of pneumonia in patients with acute stroke. Objective to evaluate the accuracy of A2DS2 score in predicting poststroke pneumonia. Methods data of 418 patients with acute stroke were analyzed by univariate and multivariate Logistic regression analysis. The accuracy of A _ 2DS _ 2 score in the diagnosis of post-stroke pneumonia was evaluated by receiver operating characteristic roc curve. Results the incidence of post-stroke pneumonia was 23.92. Male, smoking history, dysphagia, history of pulmonary underlying diseases, Atrial fibrillation, Atrial fibrillation with proton pump inhibitor or H 2 receptor blocker or NIHSS score of 5 ~ 15 and 鈮，

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