CAJ | 학술논문

目的：研究急性缺血性脑卒中相关性肺炎的发生率及其危险因素。方法回顾性分析2013年8月至2014年6月新疆三家综合性医院神经内科收治的636例急性缺血性脑卒中患者的临床资料，调查卒中相关性肺炎的发生率，采用单因素和多因素分析研究急性缺血性脑卒中相关性肺炎的危险因素。结果①新疆三家医院636例急性缺血性脑卒中患者中卒中相关性肺炎的发生率为14.5%（92例）；②单因素分析显示：性别、年龄、合并房颤、吞咽障碍、意识障碍、高同型半胱氨酸血症和低蛋白血症及NIHSS评分差异具有统计学意义(P<0.05)。多因素分析显示：性别、年龄、合并房颤、吞咽障碍、意识障碍、高同型半胱氨酸血症和低蛋白血症及NIHSS评分差异具有统计学意义(P<0.05)结论男性、高龄(≥60岁)、合并房颤、吞咽障碍、意识障碍、高同型半胱氨酸血症和低蛋白血症及高NIHSS评分(≥15分)是新疆三家医院急性缺血性脑卒中相关性肺炎的危险因素。
목적：연구급성결혈성뇌졸중상관성폐염적발생솔급기위험인소。방법회고성분석2013년8월지2014년6월신강삼가종합성의원신경내과수치적636례급성결혈성뇌졸중환자적림상자료，조사졸중상관성폐염적발생솔，채용단인소화다인소분석연구급성결혈성뇌졸중상관성폐염적위험인소。결과①신강삼가의원636례급성결혈성뇌졸중환자중졸중상관성폐염적발생솔위14.5%（92례）；②단인소분석현시：성별、년령、합병방전、탄인장애、의식장애、고동형반광안산혈증화저단백혈증급NIHSS평분차이구유통계학의의(P<0.05)。다인소분석현시：성별、년령、합병방전、탄인장애、의식장애、고동형반광안산혈증화저단백혈증급NIHSS평분차이구유통계학의의(P<0.05)결론남성、고령(≥60세)、합병방전、탄인장애、의식장애、고동형반광안산혈증화저단백혈증급고NIHSS평분(≥15분)시신강삼가의원급성결혈성뇌졸중상관성폐염적위험인소。
Objective To investigate the incidence of stroke associated pneumonia in patients with acute ischemic stroke and identify its risk factors. Methods A retrospective analysis was performed for 636 patients with acute ischemic stroke in three hospitals in Xinjiang from August 2013 to June 2014. The incidence of stroke associat-ed pneumonia was calculated, the risk factors were identified by the methods of univariate and multivariate analysis. Results ① The incidence of stroke associated pneumonia was 14.5% (92 cases) in patients with acute ischemic stroke in three hospitals in Xinjiang.②According to the results of univariate and multivariate analysis, gender, age, atrial fibrillation, dysphagia, consciousness disorders, hyperhomocysteinaemia, hypoproteinemia and NIHSS score showed statistically significant differrence in patients with acute ischemic stroke (P<0.05). Conclusion Male, ad-vanced age (≥60 years old), atrial fibrillation, dysphagia, consciousness disorders, hyperhomocysteinaemia, hypopro-teinemia and NIHSS score ≥15 were independent risk factors for stroke associated pneumonia in acute ischemic stroke patients in the three hospitals in Xinjiang.