急性脑卒中并发肺部感染的危险因素分析

Risk factors analysis of acute cerebral stroke complicated with pulmonary infection

目的探讨诱发脑卒中患者并发肺部感染的危险因素。方法选取60例急性脑卒中并发肺部感染的患者为感染组研究对象,选取同期60例无肺部感染的急性脑卒中患者为对照组研究对象,通过回顾性调查分析急性脑卒中并发肺部感染的危险因素。结果感染组高龄、有吸烟史、意识障碍、脑出血、吞咽障碍患者比例,住院时间、血糖、白蛋白水平及NIHSS评分均明显高于对照组,GCS评分明显低于对照组(P<0.05);感染组肾功能不全、呼吸系统疾病、糖尿病、心脏病及免疫系统疾病比例及有侵入性操作、使用糖皮质激素、预防性使用抗生素、使用H_2受体阻滞剂比例均明显高于对照组(P<0.05)。结论急性脑卒中并发肺部感染与卒中类型、意识障碍、吞咽障碍、GCS评分、NIHSS评分、合并症和侵袭性操作等因素有关。

Objective To investigate the risk factors of acute cerebral stroke complicated with pulmonary infection.Methods A total of 60 cases of patients with acute cerebral stroke complicated with pulmonary infection were selected as the infection group, and 60 patients with acute cerebral stroke without infection in the same period were selected as the control group. The risk factors of pulmonary infection were analyzed retrospectively. Results The rate of advanced age,smoking history, disturbance of consciousness, cerebral hemorrhage, swallowing dysfunction and hospital stays, the levels of plasma glucose and albumin, NIHSS score were higher in the infection group than those in the control group, and the GCS score in the infection group was lower than that in the control group（P〈0.05）. The incidences of renal insufficiency, pulmonary disease, diabetes mellitus, heart disease, immune system disease, and the application rates of invasive procedures,glucocorticoid, preventive antibiotics in the infection group were higher than those in the control group（P〈0.05）. Conclusion The stroke patterns, disturbance of consciousness, difficulty in swallowing, the scores of GCS and NIHSS, complications and invasive operation were related to acute cerebral stroke complicated with pulmonary infection.