脑梗死康复期患者肺部感染的相关危险因素分析

Analysis of Related Risk Factors of Pulmonary Infection in Patients with Cerebral Infarction During Rehabilitation

目的 分析脑梗死患者康复期肺部感染的相关危险因素.方法 选取2019年1—12月吉林省人民医院收治的脑梗死康复期患者92例为研究对象,随后根据患者肺部感染情况进行分组,其中未合并肺部感染的患者作为对照组,而合并肺部感染的患者作为观察组,每组46例.对两组患者进行临床治疗,观察两组患者的各项独立危险因素.结果 脑梗死康复期患者的独立危险因素包括高血压病史、冠心病史、糖尿病史、慢性阻塞性肺疾病病史、意识障碍、大面积脑梗死、吞咽困难等,其中对患者影响最大的独立危险因素为慢性阻塞性肺疾病病史以及意识障碍.观察组患者治疗后的住院时间、NIHSS评分以及病死率等指标均优于对照组,差异有统计学意义(P<0.05).结论 在临床上需要对脑梗死合并意识障碍以及慢性阻塞性肺疾病患者进行针对性干预,可以有效地预防脑梗死康复期患者的肺部感染,提升生活质量.

Objective To analyze the related risk factors of pulmonary infection in patients with cerebral infarction during rehabilitation.Methods 92 patients with cerebral infarction in the rehabilitation period admitted to Jilin Provincial People's Hospital from January to December 2019 were selected as the research objects,and they were grouped according to their lung infections.Among them,patients without lung infection were taken as the control group,while the patients with lung infection were taken as the observation group,with 46 cases in each group.The two groups of patients were treated clinically,and the independent risk factors of the two groups of patients were observed.Results The independent risk factors of patients with cerebral infarction and during rehabilitation period included hypertension history,coronary heart disease history,diabetes history,chronic obstructive pulmonary disease history,consciousness disorder,large area cerebral infarction,dysphagia,etc.Among them,the independent risk factors that have the greatest impact on patients are history of chronic obstructive pulmonary disease and disturbance of consciousness.The observation group was better than the control group in terms of hospitalization time,NIHSS score and mortality rate after treatment,and the difference was statistically significant(P<0.05).Conclusion Clinically,targeted interventions are needed for patients with cerebral infarction combined with impaired consciousness and chronic obstructive pulmonary disease,which can effectively prevent pulmonary infection in patients with cerebral infarction during the rehabilitation period and improve the quality of life.