急性脑卒中患者医院获得性肺部感染71例临床分析

Clinical study of acute stroke patients with hospital-acquired pulmonary infection of 71 cases

目的:探讨急性脑卒中患者医院获得性肺部感染的相关危险因素、感染情况及对预后影响,探讨其防治对策。方法:对2010年8月～2011年8月期间我科收治的所有急性脑卒中病例进行描述性统计分析,统计所有脑卒中患者院内肺部感染的发病率、感染菌群分布,分析相关高危因素与感染的关系及对预后影响。结果:急性脑卒中患者易发生院内肺部感染,其与患者年龄、基础疾病、病情、意识状况等因素关系密切,并发肺部感染患者病死率明显升高。结论:对脑卒中合并医院获得性肺部感染患者群体进行院内肺部感染的相关分析有助于指导我院脑卒中患者的临床治疗,促进患者恢复。

Objective：To investigate the risk factors associated infection and impact on prognosis,and its countermeasures of acute stroke patients with hospital-acquired pulmonary infection.Methods：Collect and analyze the all acute stroke cases which were been treated in our hospital during 2010.8-2011.8 with the descriptive statistical analysis,statistics of the incidence of these patients with nosocomial pulmonary infection,infection of bacterial distribution,analyze the relationship between risk factors and infection and influence on the prognosis.Results： Acute stroke patients prone to nosocomial lung infection,hitch were closely related to the patient age,underlying disease,condition,state of consciousness and other factors,the mortality of patients with pulmonary infection was significantly higher.Conclusions： The clinical study of acute stroke patients with hospital-acquired pulmonary infection will help the clinical treatment of patients with stroke in the hospital.