急性脑卒中并发肺部感染分析

Pneumonia in acute stroke patients.

目的探讨急性脑卒中患者肺部感染的高发因素及并发肺部感染对预后的影响,寻求降低肺部感染率的方法。方法分析1996-2003年间上海同济大学附属同济医院神经内科急性脑卒中患者391例,采用卡方检验法分析肺部感染率与患者年龄、病种、病情、基础疾病及预后的关系。结果高龄、病情重、原有糖尿病、心脏病、肿瘤、免疫系统疾病及中风史患者,其肺部感染率明显升高,并发肺部感染的脑卒中患者病死率明显升高。结论控制院内肺部感染可有效提高脑卒中救治成功率。

Objective To study the risk factors of pneumonia in the acute stroke patients,and provide support for nursing. Methods 391 acute stroke patients were analysed to investigat the rate of pneumonia and its relation with age,the type and the severity of stroke, the basic disease and the prognosis. Results It was showed that the rate increased in the patients of old age, with severe stroke, and having some basic diseases such as diabetes, heart disease, tumor, immunity disease,old stroke. The mortality in the acute stroke patients with pneumonia was higher than the control. Conclusion Controlling the rate of pneumonia can help us to succeed in treating acute stroke patients.