老年脑卒中患者合并肺部感染的原因分析及早期康复治疗

Analysis of Causes and Rehabilitation about the Elder Patients with Stroke and Pulmonary Infection

目的:对老年脑卒中患者合并肺部感染的原因进行分析,探讨早期康复治疗的方法与效果。方法:选择我院2012年1月-2013年1月70例合并肺部感染的脑卒中患者与70例未合并肺部感染的脑卒中患者进行对照研究,分析发生肺部感染高危因素。35例合并肺部感染的脑卒中患者给予常规抗感染治疗,另外35例患者在此基础上给予早期康复治疗,对两组治疗的效果进行比较。结果:NIHSS评分与神经功能缺损评分评分高,有气管切开史、有吞咽功能障碍、合并意识障碍、高龄、合并糖尿病及营养状况差等是老年脑卒中患者发生肺部感染的主要因素,以上因素具有代表性(P<0.05)。观察组痊愈27例,显效6例,总有效率为94.29%;对照组痊愈21例,显效8例,总有效率为82.86%;观察组治疗效果明显好于对照组,两组比较差异具有显著性(P<0.05)。结论:老年人脑卒中后由于多种因素的影响,肺部感染的发生率较高。为了提高治疗效果,在常规治疗的基础上结合康复治疗,具有科学性与有效性,可更有效促进患者的痊愈。

Objective： To analyze the causes of patients with stroke and pulmonary infections, and to explore the early rehabilitation methods and results. Methods： 70 patients with stroke and pulmonary infection who were treated in our hospital fi＇om January 2012 to 2013 were selected, and another 70 healthy people were chosen to be the control group. 35 patients with pulmonary infections were treated by the regular methods, while another 35 patients were treated by the early rehabilitation besides the regular one. Then the clinical efficacy was compared between the two groups. Results： NIHSS score and neurological deficit scores have high ratings, tracheotomy history, swallowing dysfunction, combined disturbance of consciousness, and poor old age, diabetes and nutritional status are major factors for elderly stroke patients with pulmonary infection, these above factors have a representation （P 〈0.05）. In observation group, 27 cases were cured, treatments were effective in 6 cases, total effective rate was 94.29% ; In control group, 21 cases were cured, treatments were effective in 8 cases, and total effective rate was 82.86%; observation group was significantly better than the con- trol group, the difference was significant （P 〈0.05）. Conclusion： The elderly after stroke have the high incidence of lung infections due to a variety of factors. In order to improve the therapeutic effect, the conventional therapy combined with rehabilitation therapy is scientific and effective, and can promote the healing of patients.