CAJ | 학술논문

目的：探讨急性脑梗死相关性肺炎与急性脑梗死短期预后的关系。方法198住院后2～3 d出现相关性肺炎的急性脑梗死患者被设为肺炎组，另将资料相匹配的无出现肺炎198例急性脑梗死患者设为无肺炎组。比较两组患者的临床特点、新发缺血性心脑事件及终点事件情况。结果肺炎组出院时NIHSS评分较无肺炎组高[（11.66±4.78）分vs.（8.34±3.84）分，P＝0.004]，随访6个月后两组新发心脑缺血事件发生率（18.4％ vs.7.9％）及总的终点事件发生率（20.0％vs.8.4％）比较差异均有统计学意义（P均＜0.05）。结论急性脑梗死相关性肺炎与脑梗死的短期预后有一定关系，预防相关性肺炎对提高患者的预后有重要意义。
목적：탐토급성뇌경사상관성폐염여급성뇌경사단기예후적관계。방법198주원후2～3 d출현상관성폐염적급성뇌경사환자피설위폐염조，령장자료상필배적무출현폐염198례급성뇌경사환자설위무폐염조。비교량조환자적림상특점、신발결혈성심뇌사건급종점사건정황。결과폐염조출원시NIHSS평분교무폐염조고[（11.66±4.78）분vs.（8.34±3.84）분，P＝0.004]，수방6개월후량조신발심뇌결혈사건발생솔（18.4％ vs.7.9％）급총적종점사건발생솔（20.0％vs.8.4％）비교차이균유통계학의의（P균＜0.05）。결론급성뇌경사상관성폐염여뇌경사적단기예후유일정관계，예방상관성폐염대제고환자적예후유중요의의。
Objective Toexploretheassociationbetweenacutecerebralinfarction-associatedpneu-moniaandtheshort-termprognosis.Methods Onehundredandninety-eightpatientswithacutecerebralin-farction-associated pneumonia were included in the pneumonia group and 1 98 acute cerebral infarction patients without pneumonia were assigned into the non-pneumonia group. Clinical characteristics,new cerebrovascular ischemiceventsandend-pointeventswerestatisticallycomparedbetweentwogroups.Results Thenational institutes of health stroke scale (NIHSS)score of the pneumonia group was significantly higher compared with that of the non-pneumonia group (1 1.66 ±4.78 vs.8.34 ±3.84,P=0.004). After 6 months follow-up,the incidence of new cerebrovascular ischemic events and end-point events significantly differed between two groups (18.4%vs.7.9%,20.0%vs.8.4%,P<0.05).Conclusions Acutecerebralinfarction-associatedpneu-monia is correlated with short-term prognosis. Preventing acute cerebral infarction-associated pneumonia is of clinical significance for improving the prognosis of patients.