急诊病房脑卒中相关性肺炎的危险因素及预后分析

发布时间：2018-04-22 20:47

本文选题：脑卒中 + 卒中相关性肺炎　；参考：《中国康复理论与实践》2017年08期

【摘要】：目的探讨急诊病房中急性脑卒中患者卒中相关性肺炎(SAP)的发生率、危险因素及预后。方法回顾性分析2014年4月至2016年12月本院急诊病房收治的306例急性脑卒中患者的临床资料,将其分为SAP组(n=120)和非SAP组(n=186),采用Logistic回归分析SAP的危险因素及预后。结果急诊病房中SAP发生率为39.2%,其中34例(28.3%)死亡。两组在年龄、格拉斯哥昏迷评分(GCS)、序贯器官衰竭估计评分(SOFA)和美国国立卫生研究院卒中量表评分(NIHSS)、机械通气、吞咽障碍、抑酸药物使用、鼻饲方面有显著性差异(P0.05)。Logistic回归分析显示,年龄65岁、高血压病史、NIHSS评分、GCS9分、吞咽障碍和抑酸药物使用是SAP发生的危险因素;SOFA评分、NIHSS评分15分和机械通气是SAP组30 d死亡率的独立危险因素。结论急诊病房中脑卒中患者的SAP发生与多种因素密切相关,并影响其预后。
[Abstract]:Objective to investigate the incidence, risk factors and prognosis of stroke associated pneumonia (SAP) in acute stroke patients in emergency ward. Methods the clinical data of 306 acute stroke patients admitted in our hospital from April 2014 to December 2016 were analyzed retrospectively. The clinical data were divided into group SAP (n=120) and non SAP group (n=186), and Logistic regression analysis was used to analyze SA. Results the risk factors and prognosis of P. Results the incidence of SAP in the emergency ward was 39.2%, of which 34 cases (28.3%) died. The two groups were age, Glasgow coma score (GCS), sequential organ failure assessment score (SOFA) and National Institutes of Health Stroke Scale (NIHSS), mechanical ventilation, dysphagia, acid suppressor use, and nasal feeding. P0.05.Logistic regression analysis showed that age 65, hypertension history, NIHSS score, GCS9 score, dysphagia and acid suppressor use were risk factors for SAP; SOFA score, NIHSS score 15 and mechanical ventilation were independent risk factors of 30 d mortality in SAP group. Conclusion SAP in patients with cerebral apoplexy in emergency ward and a variety of causes It is closely related and affects its prognosis.

【作者单位】：首都医科大学康复医学院;中国康复研究中心北京博爱医院急诊科;
【分类号】：R563.1;R743.3

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