老年脑梗死合并肺部感染的危险因素与防治措施

发布时间：2018-05-30 02:30

本文选题：脑梗死 + 肺部感染　；参考：《实用医学杂志》2014年14期

【摘要】：目的:探讨老年脑梗死合并肺部感染的危险因素与防治措施。方法:回顾性分析2012年11月至2013年11月入住我院神经内科的老年脑梗死患者160例,根据住院期间是否合并肺部感染分为对照组(104例)和肺部感染组(56例),分析患者的年龄、意识状态、合并慢性疾病情况、球麻痹症状与患者发生肺部感染的相关性,并统计两组患者的住院时间和预后情况。结果:对照组与肺部感染组患者在年龄、意识状态、合并慢性疾病情况、球麻痹症状4项指标上比较差异有显著性(P0.05);Logistic回归多因素分析显示高龄、意识障碍、合并慢性疾病、合并球麻痹均是脑梗死合并肺部感染的危险因素;肺部感染组患者的病死率(16.07%)显著高于对照组(6.73%)(P0.05);肺部感染组患者的住院时间[(34.5±9.5)d]较对照组[(26.6±8.2)d]显著延长(P0.05)。结论:高龄、意识障碍、合并慢性疾病、合并球麻痹均是老年脑梗死患者合并肺部感染的高危因素,临床上应采取针对性的预防治疗措施。
[Abstract]:Objective: to explore the risk factors and preventive measures of cerebral infarction complicated with pulmonary infection in the elderly. Methods: 160 elderly patients with cerebral infarction admitted to our department of neurology from November 2012 to November 2013 were retrospectively analyzed. According to whether they were complicated with pulmonary infection during hospitalization, they were divided into two groups: control group (n = 104) and pulmonary infection group (n = 56). The age of the patients was analyzed. The relationship between the symptoms of bulbar paralysis and pulmonary infection was analyzed. The hospitalization time and prognosis of the two groups were analyzed. Results: there were significant differences in age, consciousness, chronic disease and bulbar paralysis between control group and pulmonary infection group (P 0.05 logistic regression analysis). The mortality of patients with pulmonary infection was significantly higher than that of control group (P 0.05), and the hospitalization time of patients with pulmonary infection [34.5 卤9.5 days] was significantly longer than that of control group [26.6 卤8.2 days]. Conclusion: advanced age, disturbance of consciousness, complicated with chronic disease, and complicated with bulbar paralysis are the high risk factors of pulmonary infection in elderly patients with cerebral infarction.
【作者单位】：天津市第四医院脑系科;
【分类号】：R743.33;R563.1

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