CAJ | 학술논문

目的：研究老年脑卒中患者相关性肺炎临床危险因素和特点。方法回顾性分析我院在2009年1月至2014年2月间收治的100例老年脑卒中患者的临床资料，以其是否发生肺炎为依据，将其分为两组，将感染肺炎患者作为观察组，未感染肺炎患者作为对照组，对比两组患者的危险因素、神经功能评分、病死率与痰细菌学检查结果等情况。结果在100例脑卒中患者中，共有28例患者感染肺炎，肺炎感染率为28.0%。观察组中有4例患者死亡，病死率为14.3%。对照组中有2例死亡病例，病死率为2%。观察组病死率明显高于对照组，对比差异较大，具有统计学意义（P<0.05）。对于年龄在70岁以上的患者而言，感染肺炎的主要因素在于意识与吞咽障碍、患有基础疾病等。经痰细菌学检查发现，最主要的细菌为革兰阴性杆菌，其中包括肺炎克雷伯菌、铜绿单胞菌、大肠埃希菌。革兰阳性球菌在数量上仅次于革兰阴性杆菌，主要包括表皮葡萄球菌与金黄色葡萄球菌。结论老年脑卒中患者因受到很多危险因素的影响，极易感染肺炎，一旦受到感染，便会加大治疗困难，导致病死率上升。因此，必须要在早期采取预防措施，改善患者预后，使其生活质量得到提升。
목적：연구노년뇌졸중환자상관성폐염림상위험인소화특점。방법회고성분석아원재2009년1월지2014년2월간수치적100례노년뇌졸중환자적림상자료，이기시부발생폐염위의거，장기분위량조，장감염폐염환자작위관찰조，미감염폐염환자작위대조조，대비량조환자적위험인소、신경공능평분、병사솔여담세균학검사결과등정황。결과재100례뇌졸중환자중，공유28례환자감염폐염，폐염감염솔위28.0%。관찰조중유4례환자사망，병사솔위14.3%。대조조중유2례사망병례，병사솔위2%。관찰조병사솔명현고우대조조，대비차이교대，구유통계학의의（P<0.05）。대우년령재70세이상적환자이언，감염폐염적주요인소재우의식여탄인장애、환유기출질병등。경담세균학검사발현，최주요적세균위혁란음성간균，기중포괄폐염극뢰백균、동록단포균、대장애희균。혁란양성구균재수량상부차우혁란음성간균，주요포괄표피포도구균여금황색포도구균。결론노년뇌졸중환자인수도흔다위험인소적영향，겁역감염폐염，일단수도감염，편회가대치료곤난，도치병사솔상승。인차，필수요재조기채취예방조시，개선환자예후，사기생활질량득도제승。
ObjectivePneumonia in elderly patients with cerebral apoplexy correlation clinical risk factors and characteristics.MethodsRetrospective analysis in January 2009 to February 2014 were of the clinical data of 100 cases of senile cerebral apoplexy patients, based on whether the pneumonia, it can be divided into two groups, the patients with pneumonia as the observation group, pneumonia patients as control group, compared two groups of patients with risk factors, nerve function score, mortality and sputum bacteriology examination results, and so on and so forth.ResultsIn 100 cases of cerebral apoplexy patients, a total of 28 cases of patients with pneumonia, pneumonia infection rate was 28.0%. With death in 4 patients in observation group, mortality was 14.3%. In the control group had 2 cases died the mortality rate of 2%. Mortality in observation group was obviously higher than that of control group, compare the differences, statistically signiifcant (P<0.05). For aged patients over the age of 70, the main factors of pneumonia are consciousness and swallowing dysfunction, with basic diseases, etc. From the sputum bacteriology inspection found that the main bacteria for gram-negative bacilli, including klebsiella pneumoniae, verdigris, e.coli bacterium. Gram positive coccus in number after gram-negative bacilli, mainly including epidermis staphylococcus aureus and staphylococcus aureus.ConclusionIn elderly patients with cerebral apoplexy caused by many risk factors, vulnerable to pneumonia, once infected, it will increase the treatment is dififcult, leading to increased mortality. Therefore, we must take preventive measures in the early days; improve the prognosis of patients, the quality of life improved.