急性脑血管意外患者发生卒中相关性肺炎的危险因素分析

Risk factors of stroke associated pneumonia in patients with acute cerebrovascular accident

目的分析急性脑血管意外患者发生卒中相关性肺炎的危险因素,探讨防治措施。方法急性脑血管意外合并卒中相关性肺炎患者44例作为观察组,按照1∶1比例随机选择44例未并发卒中相关性肺炎患者作为对照组,对2组临床资料进行对比。结果观察组患者年龄(72.45±10.23)岁、卒中病史22.73%、吸烟45.45%、糖尿病40.91%、吞咽困难59.09%、护理不当25.00%、侵入性操作(气管插管气管切开和吸痰、留置胃管等)68.18%、卧床时间(13.26±3.23)d、出血性脑血管意外36.36%,高于对照组的(65.38±11.38)岁、4.55%、15.91%、13.64%、22.73%、6.82%、31.82%、(7.87±2.87)d、18.18%(P<0.05),是引起卒中相关性肺炎的危险因素,与性别无显著相关性(P>0.05)。结论导致急性脑血管意外卒中相关性肺炎的因素复杂,应严格无菌操作和加强手卫生管理,针对性实施相应干预措施,以降低其发生率。

Objective To observe the risk factors of stroke associated pneumonia in patients with acute cerebrovascular accident and to explore the prevention and treatment measures.Methods Selecte44patients with acute cerebrovascular accident complicated with stroke associated pneumonia as the observation group,and44cases without stroke related pneumonia were randomly selected as control group according to the proportion of1:1,and the clinical data of the two groups were compared.Results Patients in the observation group(72.45±10.23)years of age,history of stroke22.73%,diabetes45.45%,smoking40.91%,dysphagia59.09%,improper care25.00%and invasive operation(endotracheal intubation tracheotomy and suctioning,indwelling gastric tube etc.)68.18%,stay in bed(13.26±3.23)days,hemorrhagic cerebrovascular accident36.36%,higher than the control group(65.38±11.38)years of age、4.55%、15.91%、13.64%、22.73%、6.82%、31.82%、(7.87±2.87)days、18.18%(P<0.05),which is the risk factors of stroke associated pneumonia no significant correlation with sex(P>0.05).Conclusion The factors associated with stroke associated pneumonia in acute cerebrovascular accident are complex,strict aseptic manipulation and strengthening hand hygiene management should be implemented,and corresponding targeted interventions should be implemented according to relevant factors to reduce the incidence of stroke associated pneumonia.