老年脑卒中患者肺部感染的临床分析

发布时间：2018-03-14 11:16

本文选题：脑卒中　切入点：肺部感染　出处：《中华医院感染学杂志》2014年12期 　论文类型：期刊论文

【摘要】：目的探讨老年脑卒中患者肺部感染的临床特征及危险因素,为临床治疗提供依据。方法调查2013年1月-2014年2月344例老年脑卒中住院患者临床资料,感染病原菌采用法国生物梅里埃公司自动细菌鉴定仪进行检测,并分析影响感染的相关因素,数据采用SPSS 13.0统计软件进行处理。结果 344例老年脑卒中住院患者中发生肺部感染79例,感染率为22.97%;共分离出104株病原菌,革兰阴性菌64株占61.54%,革兰阳性菌40株占38.46%,其中以肺炎克雷伯菌、金黄色葡萄球菌居多,分别占37.50%、25.96%;患有呼吸系统疾病及糖尿病、年龄≥60岁、住院时间4周、多种抗菌药物联合使用、侵入性诊疗、低蛋白血症等均是脑卒中患者发生肺部感染的危险因素。结论肺部感染在老年脑卒中住院患者中发生率较高,病原菌分布复杂且影响危险因素多,临床控制危险因素的同时选择针对性抗菌药物控制感染。
[Abstract]:Objective to investigate the clinical characteristics and risk of cerebral stroke patients with pulmonary infection factors, provide the basis for clinical treatment. Methods the survey in January 2013 -2014 year in February 344 cases of elderly stroke patients with clinical data, were detected by bioMerieux automatic bacteria identification system of pathogenic bacteria infection, and analyze the factors related to infection, the data by SPSS 13 software. Results 344 cases of elderly stroke admitted 79 cases of pulmonary infection patients, the infection rate was 22.97%; a total of 104 strains of pathogenic bacteria were isolated, 64 strains of gram negative bacteria accounted for 61.54%, 40 strains of gram positive bacteria accounted for 38.46%, with Klebsiella pneumoniae, Staphylococcus aureus. Respectively, accounting for 37.50%, 25.96%; suffering from respiratory diseases and diabetes, aged 60 years, hospitalization time of 4 weeks, combined use of antibiotics, invasive procedures, hypoproteinemia were stroke Risk factors for pulmonary infection in patients. Conclusion pulmonary infection has a high incidence in hospitalized elderly patients with stroke. The distribution of pathogenic bacteria is complex and there are many risk factors.

【作者单位】：天津市天津医院神经内科;
【基金】：教育部高等学校博士学科点专项科研基金项目(200804861039)
【分类号】：R563.1

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