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老年脑卒中患者肺部感染的危险因素 被引量:13

Risk factors analysis on elderly stroke patients with pulmonary infections
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摘要 目的探讨老年脑卒中患者合并肺部感染的高危因素及防治对策,为临床诊治提供参考。方法选取医院老年脑卒中患者503例,对其临床资料和治疗过程进行回顾性分析。结果 503例患者共发生肺部感染49例,发生率9.74%,其中39例为社区感染,10例为医院感染;脑卒中患者的年龄、意识和营养状况、是否吸烟饮酒、是否伴有糖尿病和肺部疾病以及住院时间均与肺部感染的发生具有相关性(P<0.05);脑卒中患者住院期间是否进行气管切开、气管插管、鼻饲胃管以及是否使用质子泵抑制剂和抗菌药物与其是否发生医院获得性肺炎具有明显的相关性(P<0.05);多因素logistic回归分析结果显示,脑卒中患者年龄>65岁、营养不良、合并糖尿病及肺部疾病、住院时间>14d、在住院期间进行了气管切开及插管、使用了质子泵抑制剂和抗菌药物等因素均是发生肺部感染的独立高危因素(P<0.05)。结论老年脑卒中患者合并肺部感染的高危因素多种多样,在临床工作中应根据这些因素采取相应措施进行预防,尽量减少肺部感染的发生,改善患者的预后。 OBJECTIVE To investigate the risk factors and prevention measures for stroke in elderly patients with pulmonary infections, so as to provide reference for clinical treatment. METHODS A total of 503 cases of elderly stroke patients were selected and retrospectively analyzed on the clinical data and the course of treatment. RESULTS Among 503 cases of patients, 49 cases got pulmonary infection, accounting for 9.74%, of which 39 ca- ses of community-acquired, 10 cases of hospital infections. Age, stroke patient's age, consciousness condition and nutritional status, smoking, drinking, associated with diabetes and lung disease, and hospitalization time were as- sociated with pulmonary infections(P〈0.05) ; The stroke patients during hospitalization with tracheotomy, endo- tracheal intubation, nasogastric tube and whether using proton pump inhibitors and antibiotics had a significant correlation with the occurrence of hospital-acquired pneumonia (P〈0.05). The classification of stroke, the pa- tient's gender and whether patients with coronary heart disease has little effect on the occurrence of lung infec- tions, (P〉0.05). The logistic regression analysis showed that stroke patients aged〉 65 years old, malnutrition, diabetes mellitus and lung disease, hospitalization〉 14 d, performed a tracheostomy and intubation during hospi- talization, using of proton pump inhibitors and antibiotics and other factors were the occurrence independent risk factors for lung infections (P〈0.05). CONCLUSION There are various risk factors for elderly stroke patients got lung infections. In clinic, appropriate measures for preventing these factors should be taken, the incidence of lung infections should be minimized and the patient outcomes should be improved.
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2014年第10期2475-2476,2482,共3页 Chinese Journal of Nosocomiology
基金 广州市卫生局基金资助项目(YG-2010B-061)
关键词 老年 脑卒中 肺部感染 易患因素 Elderly Stroke Lung infection Risk factors
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