CAJ | 학술논문

目的：探讨脑出血患者医院获得性肺炎的临床特点及危险因素。方法2009年9月至2012年9月共收治1184例自发性脑出血（IC H ）患者，对其发生医院获得性肺炎的相关资料进行回顾性统计分析。结果 IC H患者医院获得性肺炎的发生率为13．0％，检出的病原菌依次为革兰阴性杆菌（63．4％）、革兰阳性球菌（26．7％）、真菌（9．9％）；其危险因素与患者年龄、基础疾病、住院时间、意识状态、气管插管或切开、出血量、球麻痹、营养状况等有关。结论 IC H患者易发生医院获得性肺炎，应针对上述危险因素，采取综合措施，降低发生率。
목적：탐토뇌출혈환자의원획득성폐염적림상특점급위험인소。방법2009년9월지2012년9월공수치1184례자발성뇌출혈（IC H ）환자，대기발생의원획득성폐염적상관자료진행회고성통계분석。결과 IC H환자의원획득성폐염적발생솔위13．0％，검출적병원균의차위혁란음성간균（63．4％）、혁란양성구균（26．7％）、진균（9．9％）；기위험인소여환자년령、기출질병、주원시간、의식상태、기관삽관혹절개、출혈량、구마비、영양상황등유관。결론 IC H환자역발생의원획득성폐염，응침대상술위험인소，채취종합조시，강저발생솔。
Objective To investigate the clinical characteristics and the risk factors of hospital-acquired pneumonia(HAP) in the patients with intracerebral hemorrhage(ICH) .Methods The clinical data of 1 184 cases of ICH complicating HAP from Sep .2009 to Sep .2012 were analyzed retrospectively and statistically .Results The incidence rate of HAP was 13 .0% in these ICH patients , the detected pathogens were in turn Gram-negative bacilli(63 .4% ) ,Gram-positive cocci(26 .7% ) and fungi(9 .9% );the risk factors of HAP in ICH patients were related with the age of patients ,underlying disease ,length of hospital stay ,conscious state ,tracheoto-my ,amount of cerebral hemorrhage ,bulbar palsy and nutritional status .Conclusion The patients with ICH are easy to develop HAP .Aiming at the above risk factors ,the comprehensive measures should be adopted to reduce the incidence rate of HAP in ICH patients .