急性脑卒中并发肺部感染危险因素分析

Analysis of the risk factors of acute stroke patient with chest infection

目的明确并发肺部感染对急性脑卒中后死亡的影响,探讨诱发肺部感染的危险因素。方法对我院419例急性脑卒中患者临床资料进行回顾性分析。结果①脑卒中发生后肺部感染率为24.34%;②有并发肺部感染者较无并发症者病死率高。③Logistic回归分析结果显示,原发病意识水平下降、长时间卧床和营养不良对卒中后发生肺部感染的影响有统计学意义(P<0.05)。结论①脑卒中后容易并发肺部感染且其与脑卒中后死亡率存在相关性。②原发病意识水平下降、长时间卧床和营养不良是卒中后并发肺部感染的可能危险因素。

Objective To explicit the impact on the chest infection to death after acute stroke, and discuss the risk factors of chest infection. Methods To observe, evaluate and record the 419 patients of acute stroke,and analyze the risk factors. Results ~）The rate of chest infection up to 24.34%; ②The patients with chest infection have a high case fatality rate than those without complications.③Logistic regression analysis showed that the decreased level of consciousness of primary dis ease, prolonged bed rest and malnutrition have significant with chest infection. Conclusion ①Chest infection is prone to happen after acute stroke, and it has a correlation with the mortality rate of acute stroke.②The possible risk factors of chest infection include decreased level of consciousness of primary disease, prolonged bed rest and malnutrition,etc.