出血性进展性卒中并发肺部感染危险因素分析及护理干预探讨

Analysis risk factors of hemorrhagic stroke in progression to pulmonary infection and discussion on nursing interventions

目的探讨出血性进展性卒中并发肺部感染的危险因素,旨在为防止出血性进展性卒中并发肺部感染进行护理干预提供参考依据。方法选择本院神经内科住院治疗的出血性进展性卒中患者108例,根据进展性卒中是否并发肺部感染分为肺部感染组和非肺部感染组,收集符合条件的患者的临床资料,采用多因素Logistic回归分析出血性进展性卒中并发肺部感染的危险因素。结果血肿扩大(OR=1.328,P<0.01)及卒中严重程度(OR=1.365,P<0.05)是出血性进展性卒中并发肺部感染的危险因素。结论出血性进展性卒中并发肺部感染受多种因素影响,与患者血肿扩大、与卒中进展严重程度独立相关,因此,在对患者进行护理的过程中,对此型患者要高度警惕,及时采取正确的医疗措施和护理措施。

Objective To investigate risk factors of hemorrhagic stroke in progression of pulmonary infection,aimed at provide reference to nursing intervention for the prevention of hemorrhagic stroke in progression to pulmonary infection.Methods 108 cases of hospitalization in our hospital neurology bleeding in patients with hemorrhagic progressive stroke,according to the progress of stroke complicated by lung infection was divided into the lung infection and lung infection group,collection the clinical data of eligible patients,logistic regression analysis of hemorrhagic stroke in progression of pulmonary infection risk factors.Results Hematoma enlargement（OR=1.328,P〈0.01） and stroke severity（OR=1.365,P〈0.05） were risk factors for hemorrhagic stroke in progression of pulmonary infection.Conclusion Hemorrhagic stroke in progression to pulmonary infection affected by many factors,hematoma enlargement,and the severity of the stroke progress were independently associated with hematoma expansion patients.Therefore,in the process of patient care,this type of patients to be highly vigilant,take timely and appropriate medical measures and care measures.