脑卒中患者医院获得性肺炎相关因素分析

Correlation Factor Analysis of HAP(hospital acquired pneumonia)in Stroke Patients

目的探讨脑卒中患者医院获得性肺炎(HAP)的相关因素。方法采用回顾性调查的方法,对560例脑卒中患者的临床资料进行分析。结果560例脑卒中患者中,95例发生HAP,发生率为16.96%。年龄>70岁,有意识障碍、合并有球麻痹、血糖升高的脑卒中患者HAP发生率高。HAP前5位常见病原菌,分别是大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌、鲍曼不动杆菌、金黄色葡萄球菌。结论脑卒中患者HAP的发生与多种因素有关,预防HAP发生的关键是尽量避免其危险因素,加强护理、早期预防、及时诊断。

Objective To explore the correlation factor of HAP （hospital acquired pneumonia）in stroke patients.Methods The clinical information about 560 cases with stroke patients be analyzed by retrospective investigation. Results 95 cases caught HAP in 560 cases with stroke patients,incidence was 16.96%. Incidence was high in patients who being over seventy, high blood sugar , conscious disturbance, glossopharyngeal paralysis. The pathogenic bacterium about HAP in order was eschefichia coli, klebsiella pneumoniae pseudomonas aeruginosa, baumanii, sdtaphylococcus aureus. Conclusion Incidence of HAP in stroke patients have relevant to many factor, the key to prevent was to avoid dangerous factor , to strengthen attendance, to prevent and diagnose timely.