急性脑卒中患者感染肺炎的影响因素分析

Influence factors on acquired pneumonia of patients with acute stroke

目的观察脑卒中患者的一般情况和临床症状,分析卒中相关性肺炎的影响因素。方法对2007年3月—2013年5月收治该院的73例脑卒中肺炎感染患者的临床资料进行整理,并与同期70例未发生感染的脑卒中患者进行对比,明确年龄、性别、基础疾病对该病发生的影响,并对其既往史及系统疾病进行Logistic回归分析。结果 70岁以上脑卒中老年患者感染肺炎的比例为76.8%,且男女比例为5∶3;基础疾病中以糖尿病、急性支气管炎和抵抗力下降的发病率最高,分别为5.6%、79.5%和83.6%;Logistic分析结果显示,年龄、性别、糖尿病史、呼吸系统疾病与卒中相关性肺炎的OR值为6.808、7.032、7.404和5.981,且P<0.05,差异有统计学意义。结论老年男性脑卒中患者感染肺炎的几率较大,糖尿病、急性支气管炎及抵抗力下降是卒中性肺炎的危险因素。

Objective To observe the general condition and clinical sylnptolns of patients with stroke,and to analyze the influence factors in patients with pnemnonia. Methods The clinical data of 73 cases with stroke and lung infection were collected from March 2007 to May 2013 treated Shexian People＇ s Hospital,and compared with 70 patients with simple stroke. We explored the influenee of age, gender,underlying diseases on patients with pnemnonia. The past history and system diseases were given logistic regression analysis. Results The proportion of pneumonia above 70 years was 76.8% ,and the lnale to felnale ratio being 5：3. Acute bronchitis and decreased resistance had the highest incidences,5.6% ,79.5% and 83.6% respectively. Logistic analysis showed that ors of age, gender, history of diabetes, respirutory disease were 6. 808,7. 032,7. 404 and 5.981 （P 〈 0.05） , with statistically significant difference. Conclusion Elderly lnales have greater chance to gain stroke with pnemnonia. Diabetes, acute bronchitis and decreased resistance are risk factors for pulmonary infection of patients with acute stroke.