脑卒中患者肺部感染和深静脉血栓与预后的相关性研究

发布时间：2018-03-17 07:18

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》2017年22期 　论文类型：期刊论文

【摘要】：目的探索脑卒中患者肺部感染和深静脉血栓与预后的相关性。方法选取2015年7月-2016年10月医院接受治疗的478例脑卒中患者为研究对象,其中患有肺部感染的脑卒中患者259例设为试验组,非肺部感染的脑卒中患者219例设为对照组,比较两组患者的血浆纤维蛋白原水平,调查试验组患者出院时预后不良发生率及出院六个月后的治愈率以及病死率,分析肺部感染和深静脉血栓两者与患者预后的相关性。结果两组患者吸烟酗酒史比较,差异有统计学意义(P0.05);只患有肺部感染的脑卒中患者的治疗结局不良发生率(10.95%)低于患有肺部感染和深静脉血栓患者(70.69%),差异有统计学意义(P0.05);患有肺部感染和深静脉血栓患者的病死率高于只患肺部感染患者(P0.05)。结论脑卒中患者极易出现肺部感染和深静脉血栓等并发症,且两者之间存在正相关性,即两并发症可能同时出现,为改善患者的预后情况应提早做好预防措施。
[Abstract]:Objective to explore the correlation between pulmonary infection and deep venous thrombosis and prognosis in stroke patients. Methods 478 patients with stroke received hospital treatment from July 2015 to October 2016 were selected as subjects. Among them 259 stroke patients with pulmonary infection were divided into experimental group and 219 non-pulmonary infection stroke patients as control group. The plasma fibrinogen levels were compared between the two groups. The incidence of poor prognosis at discharge, the cure rate and mortality after 6 months of discharge in the trial group were investigated. The correlation between pulmonary infection and deep venous thrombosis (DVT) and the prognosis was analyzed. Results the smoking and drinking history of the two groups were compared. The incidence of adverse outcome in stroke patients with pulmonary infection was 10.95) lower than that in patients with pulmonary infection and deep venous thrombosis (70.699.The difference was statistically significant (P0.05); pulmonary infection and deep venous blood were found in patients with pulmonary infection and deep venous blood. The mortality of patients with thrombus was higher than that of patients with pulmonary infection (P 0.05). Conclusion patients with stroke are prone to complications such as pulmonary infection and deep venous thrombosis. And there is a positive correlation between the two, that is, two complications may occur at the same time, in order to improve the prognosis of patients, early preventive measures should be done.
【作者单位】：三六三医院神经内科;
【分类号】：R563.1;R743.3

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