急性脑卒中患者肺部感染的预后及影响因素研究

发布时间：2018-05-28 12:01

本文选题：急性脑卒中 + 肺部感染　；参考：《中华医院感染学杂志》2017年01期

【摘要】：目的探讨合并肺部感染的急性脑卒中患者的预后,并分析影响预后的因素。方法选取2014年8月-2016年5月132例急性脑卒中合并肺部感染患者为研究对象,根据预后情况分为预后良好组与预后不佳组,筛选出影响预后的相关因素,应用logistic回归分析进行多因素回归分析。结果 132例脑卒中合并肺部感染患者中有24例(18.2%)患者预后不佳,包括死亡7例(5.3%),108例(81.8%)预后良好;出院时预后良好组NIHSS评分明显低于预后不佳组,差异有统计学意义(P0.05);预后良好组住院时间明显短于预后不佳组,差异有统计学意义(P0.05);脑卒中类型、意识障碍、吞咽困难、糖尿病史、冠心病史、年龄及卧床时间与患者预后存在相关性,差异有统计学意义(P0.05);logistics回归分析显示,出血性脑卒中、存在意识障碍、既往糖尿病史及高龄是影响患者预后的危险因素(P0.05)。结论临床上对于出血性脑卒中、存在意识障碍、既往糖尿病史及高龄的急性脑卒中患者,需早期预防,不仅避免肺部感染的发生,且可提高急性脑卒中合并肺部感染的预后。
[Abstract]:Objective to investigate the prognosis of patients with acute stroke complicated with pulmonary infection and to analyze the prognostic factors. Methods 132 patients with acute stroke complicated with pulmonary infection were selected from August 2014 to May 2016. According to the prognosis, 132 patients were divided into good prognosis group and poor prognosis group. Logistic regression analysis was used for multivariate regression analysis. Results among the 132 stroke patients with pulmonary infection, 24 had poor prognosis, including 7 cases of death, 108 cases had a good prognosis, and the NIHSS score of the group with good prognosis was significantly lower than that of the group with poor prognosis at discharge. The difference was statistically significant (P 0.05); the hospitalization time of good prognosis group was significantly shorter than that of poor prognosis group (P 0.05); the type of stroke, disturbance of consciousness, dysphagia, history of diabetes, history of coronary heart disease, Age and bed-rest time were correlated with the prognosis of the patients, and the difference was statistically significant (P 0.05). The results of regression analysis showed that there was a disturbance of consciousness in hemorrhagic stroke, and the history of diabetes and old age were the risk factors influencing the prognosis of the patients (P 0.05). Conclusion for the patients with hemorrhagic cerebral apoplexy, there are disturbance of consciousness, the history of diabetes and the elderly patients with acute stroke need early prevention, not only to avoid the occurrence of pulmonary infection, but also to improve the prognosis of acute stroke complicated with pulmonary infection.
【作者单位】：平顶山市第二人民医院神经内一科;
【基金】：河南省科技厅一般资助项目(20139087343)
【分类号】：R743.3;R563.1

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