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老年脑卒中后遗症期患者肺炎危险因素的分析 被引量:13

Risk factors for pneumonia in elderly patients with cerebral stroke sequela
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摘要 目的探讨脑卒中后遗症期患者肺炎的危险因素。方法回顾性分析330例脑卒中后遗症期患者的临床资料,进行相关因素分析,其中肺炎患者171例和无肺炎患者159例。结果高龄(OR=2.586)、吸烟史(OR=2.353)、慢性心力衰竭(OR=2.062)、意识障碍(OR=2.319)、鼻饲(OR=4.708)、完全卧床(OR=2.471)及低白蛋白血症(OR=2.388)是脑卒中后遗症期肺炎的危险因素,高脂血症(OR=0.341)是其保护因素。结论脑卒中后遗症期肺炎发病率高,危险因素多。 Objective To study the risk factors for pneumonia in elderly patients with cerebral stroke sequela. Methods Clinical data about 330 elderly patients with cerebral stroke sequela(171 pneumonia patients and 159 pneumonia-free patients) were retrospectively analyzed. Results Advanced age(OR = 2. 586), history of smoking (OR = 2. 353 ), chronic heart failure (OR = 2. 062), dysbulia(OR = 2. 319), nasal feeding(OR = 4. 708), completely bedridden(OR = 2. 471) and hypoalbuminemia(OR=2. 388) were the risk factors for pneumonia in patients with cerebral stroke sequela. Hyperglycemia(OR=0. 341) was a protective factor for it. Conclusion The incidence of pneumonia is high in patients with cerebral stoke sequela due to a variate of risk factors.
作者 徐洁 程鎏
出处 《中华老年心脑血管病杂志》 CAS 北大核心 2013年第1期55-56,共2页 Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词 卒中 肺炎 危险因素 发病率 吸烟 心力衰竭 意识障碍 后遗症期 stroke pneumonia risk factors incidence smoking heart failure consciousness disorders sequel period
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