脑卒中并发急性肺损伤危险因素分析

Analysis on the dangerous factors of acute cerebral apoplexy concurrent acute lung injury

目的探讨脑卒中急性期并发急性肺损伤(ALI)的危险因素。方法将148例急性脑卒中患者入院1周内有无并发ALI分为两组:ALI组38例,非ALI组110例。对两组患者的年龄、性别、卒中类型、鼻饲饮食、饮水呛咳、Glasgow昏迷量表评分(GCS)、慢性阻塞性肺病史等进行分析比较。结果高龄、鼻饲饮食、饮水呛咳、GCS评分低、既往有慢性阻塞性肺病史并发ALI的几率明显增高(P<0.01);性别、卒中类型两组比较无统计学意义(P>0.05)。结论高龄、鼻饲饮食、饮水呛咳、脑功能损伤严重、既往有慢性阻塞性肺病史可能是急性脑卒中并发ALI的重要危险因素,临床应予重视。

Objective To explore the dangerous factor of cerebral apoplexy acute stage concurrent acute lung injury （ALI）. Methods According to with or without concurrent ALI within one week since admitting to hospital,we divided 148 patients of acute cerebral apoplexy into two groups：there were 38 cases in ALI group,110 cases in the group of non-ALI. We comparatively analyzed patients＇ age,gender,type of cerebral apoplexy,nasogastric feeding,drinking-water bucking,Glasgow coma scale （GCS）,and history of chronic obstructive pulmonary disease. Results Aged patients and patients with nasogastric feeding and drinking-water bucking,got low GCS grades,and history of chronic obstructive pulmonary disease,the rate of concurrent ALI was obviously high （P0.01）.Gender,type of cerebral apoplexy of the two groups was not statistically significant （P0.05）.Conclusions For aged patients and patients with nasogastric feeding and drinking-water bucking,their brain function had serious injury,and history of chronic obstructive pulmonary disease might be the major dangerous factors of acute cerebral apoplexy concurrent ALI,and in clinical we could pay more attention to them.