CAJ | 학술논문

目的：探讨急性脑卒中患者并发肺部感染的预后。方法：从320例急性脑卒中患者存活者中，选入院时神经功能缺损程度评分（NIHSS）相近的无肺部感染患者和肺部感染患者进行配对，共56对，分为感染组和非感染组各56例。分别对感染组和非感染组入院时进行神经功能缺损程度评分（NIHSS）和出院时减少的NIHSS百分数比较，对比出院时神经功能恢复情况；另外，将320例急性脑卒中患者中并发肺部感染的病死率与非合并肺部感染的病死率进行比较。结果：感染组患者出院时减少的NIHSS百分数明显低于非感染组出院时减少的NIHSS百分数，两者比较差异有统计学意义（P<0.05）；320例急性脑卒中患者中，合并肺部感染脑卒中患者住院期间病死率明显高于非肺部感染脑卒中患者的病死率，两者比较差异有统计学意义（P<0.05）。结论：脑卒中并发肺部感染预后不良，应早期积极防治肺部感染。
목적：탐토급성뇌졸중환자병발폐부감염적예후。방법：종320례급성뇌졸중환자존활자중，선입원시신경공능결손정도평분（NIHSS）상근적무폐부감염환자화폐부감염환자진행배대，공56대，분위감염조화비감염조각56례。분별대감염조화비감염조입원시진행신경공능결손정도평분（NIHSS）화출원시감소적NIHSS백분수비교，대비출원시신경공능회복정황；령외，장320례급성뇌졸중환자중병발폐부감염적병사솔여비합병폐부감염적병사솔진행비교。결과：감염조환자출원시감소적NIHSS백분수명현저우비감염조출원시감소적NIHSS백분수，량자비교차이유통계학의의（P<0.05）；320례급성뇌졸중환자중，합병폐부감염뇌졸중환자주원기간병사솔명현고우비폐부감염뇌졸중환자적병사솔，량자비교차이유통계학의의（P<0.05）。결론：뇌졸중병발폐부감염예후불량，응조기적겁방치폐부감염。
To explore the prognosis of acute cerebral stroke complicated with pulmonary infection.Methods:Retrospectively analyze the clinical data of 320 patients with acute cerebral stroke, from which 112 patients were chosen according to the approximation of NIHSS when admitted to the hospital. These patients were equally divided into pulmonary infection group (56 patients) and non-pulmonary infection group (56 patients), and to compare the change of percentage of NIHSS before and after treatment so that to learn the recovery state of neurologic function between these two groups, also to compare the morality rate among 320 patients with and without pulmonary infection.Results:When discharged, the reduced percentage of NIHSS of cerebral stroke with pulmonary infection group was significantly lower than the non-pulmonary infection group (P<0.05). Among 320 patients of acute cerebral stroke, the mortality rate of patients complicated with pulmonary infection was significantly higher than the non-pulmonary infection group (P<0.05). Conclusion:Patients of acute cerebral stroke complicated with pulmonary infection have a worse Prognosis. Preventive measures should be taken at an early stage.