CAJ | 학술논문

目的：探讨急性脑梗死患者医院获得性肺炎的危险因素。方法应用回顾性调查研究方法，统计726例急性脑梗死患者的临床资料，分析医院获得性肺炎的危险因素。结果726例急性脑梗死患者中发生医院获得性肺炎41例，发生率为5.65％。患者年龄、基础疾病数、侵入性操作、NIHSS评分、住院时间以及抗菌药物使用是急性脑梗死患者发生医院获得性肺炎的独立危险因素，其中侵入性操作（ OR＝6.763）的危险性最高。结论急性脑梗死患者医院获得性肺炎的危险因素复杂，根据不同危险因素，实施针对性的措施可减少医院获得性肺炎的发生。
목적：탐토급성뇌경사환자의원획득성폐염적위험인소。방법응용회고성조사연구방법，통계726례급성뇌경사환자적림상자료，분석의원획득성폐염적위험인소。결과726례급성뇌경사환자중발생의원획득성폐염41례，발생솔위5.65％。환자년령、기출질병수、침입성조작、NIHSS평분、주원시간이급항균약물사용시급성뇌경사환자발생의원획득성폐염적독립위험인소，기중침입성조작（ OR＝6.763）적위험성최고。결론급성뇌경사환자의원획득성폐염적위험인소복잡，근거불동위험인소，실시침대성적조시가감소의원획득성폐염적발생。
Objective To investigate the risk factors of hospital-acquired pneumonia in acute cerebral infarc-tion patients .Methods Using retrospective study method ,726 acute cerebral infarction patients treated were enrolled as research subjects .And the risk factors of hospital-acquired pneumonia were analyzed .Results There were 41 ca-ses suffered hospital-acquired pneumonia in all 726 acute cerebral infarction patients , with the incidence rate of 5.65%.Logistic regression analysis showed that age ,number of basic diseases,invasive operation, NIHSS score,dura-tion of hospitalization and use of antibiotics were independent risk factors of hospital-acquired pneumonia in acute cer-ebral infarction patients .Invasive operation ( OR=6.763 ) is the highest risk .Conclusion The incidence rate of hos-pital-acquired pneumonia in cerebral infarction patients was influenced by many factors .According to the different risk factors, targeted intervention measures can reduce the occurrence rate of hospital acquired pneumonia .