慢性脑出血后肺炎病原菌分布及其预后影响因素分析

Chronic Cerebral Hemorrhage Pneumonia Pathogen Distribution and Analysis of Prognostic Factors

目的探讨慢性脑出血后肺炎患者病原菌分布及其预后影响因素,为制定防治该疾病的对策提供依据。方法对该院2012年2月—2014年2月期间收治的141例慢性脑出血肺炎患者资料进行分析。结果 141例患者中,预后良好率为84.40%,病原菌的检出率为68.79%,其中革兰阳性菌占29.90%,革兰氏阴性菌占64.95%,真菌占5.15%。Logistic回归分析结果,有吞咽反射障碍者(OR=0.796)、合并呼吸系统其他疾病者(OR=0.771)是影响预后的因素,有胸腹式呼吸训练是保护性因素(OR=1.441)。结论慢性脑出血后肺炎患者的病原菌检出率较高,一般为革兰氏阴性菌,影响预后的因素有吞咽反射障碍、合并呼吸系统其他疾病者。

Objective To investigate the chronic cerebral hemorrhage in patients with pneumonia pathogen distribution and prognostic factors provide a basis for the development of countermeasures to fight the disease. Methods The hospital in February 2012 -February 2014 were treated 141 cases of cerebral hemorrhage in patients with chronic pneumonia data analysis. Results 141 cases of patients with good prognosis was 84.40%, 68.79% detection rate of pathogens, including gram-positive bacteria accounted for 29.90%, account-ing for 64.95% of Gram-negative bacteria, fungi accounted for 5.15%. Logistic regression analysis, swallowing reflex disorder （OR =0.796）, merge other respiratory diseases （OR=0.771） are prognostic factors, there is abdominal breathing exercise is a protective factor （OR=1.441）. Conclusion Patients with chronic cerebral hemorrhage pneumonia pathogen detection rate is higher, with Gram-negative bacteria based, prognostic factors swallowing reflex disorder, merge other respiratory diseases.