脑卒中患者并发下呼吸道感染的相关因素分析

Clinical analysis on lower airway infection in patients with stroke

目的分析脑卒中患者并发下呼吸道感染相关因素。方法对2006年1月～2007年12月的390例脑卒中并发肺部感染患者的临床资料作相关因素分析。结果1098例脑卒中患者中发生肺部感染390例(35.52%)。肺部感染的发生与患者年龄、基础疾病、卒中部位,卒中性质、意识状态等有密切关系。肺炎双球菌、表皮葡萄球菌、铜绿假单胞菌、金黄色葡萄球菌、肺炎克雷伯氏菌是肺部感染的主要致病菌。结论脑卒中并发下呼吸道感染与多种因素相关,避免感染的易患因素和合理使用抗生素是防治感染的关键措施。

Objective To analyze related factors of lower airway infection patients with cerebral apoplexy. Methods The clinical information of 390 cases of lower airway infection in the patients with stroke were collected and analyzed retrospectively. Results Among 1098 stroke patients, 390 were diagnosed as lower airway infection （35.52%）, The correlated factors included age, underlying disease, stroke location, stroke quality and conscious state, S. pneumoniac, S. epidermidis, P. aeruginosa, S. aureus and K, pneumoniae were the major bacterias of the infection, Conclusion Lower airway infection in patients with stroke is influenced by many factors. To avoid risk factors, use of effective antibiotics is the key strategy to prevent and control the infection.