山西医药杂志
山西醫藥雜誌
산서의약잡지
SHANXI MEDICAL JOURNAL
2015年
2期
130-133
,共4页
脑梗死%卒中相关性肺炎%危险因素
腦梗死%卒中相關性肺炎%危險因素
뇌경사%졸중상관성폐염%위험인소
Cerebral infraction%Stroke-associated pneumonia%Risk factors
目的：分析急性脑梗死患者卒中相关性肺炎的危险因素。方法回顾性收集1084例急性脑梗死患者的临床资料，分析脑梗死急性期卒中相关性肺炎（ASP）的风险。结果在1084例患者中并发肺炎270例（24．9％），经过单因素分析，将差异有统计学意义的变量纳入多变量 Logistic 回归分析，结果显示：年龄≥70岁、慢性支气管炎、低白蛋白血症、大面积脑梗死、鼻饲、意识障碍、呛咳、空腹高血糖、应激性溃疡、出血转化等是脑梗死患者急性期 SAP 危险因素。结论年龄≥70岁、慢性支气管炎、低白蛋白血症、大面积脑梗死、鼻饲、意识障碍、呛咳、空腹高血糖、应激性溃疡、出血转化是脑梗死后 SAP 发生的重要预测因素。因此通过临床指标的观测，及早识别及针对性地采取预防措施，可以降低 SAP 的发生率、减少住院时间、降低病死率、改善卒中预后。
目的：分析急性腦梗死患者卒中相關性肺炎的危險因素。方法迴顧性收集1084例急性腦梗死患者的臨床資料，分析腦梗死急性期卒中相關性肺炎（ASP）的風險。結果在1084例患者中併髮肺炎270例（24．9％），經過單因素分析，將差異有統計學意義的變量納入多變量 Logistic 迴歸分析，結果顯示：年齡≥70歲、慢性支氣管炎、低白蛋白血癥、大麵積腦梗死、鼻飼、意識障礙、嗆咳、空腹高血糖、應激性潰瘍、齣血轉化等是腦梗死患者急性期 SAP 危險因素。結論年齡≥70歲、慢性支氣管炎、低白蛋白血癥、大麵積腦梗死、鼻飼、意識障礙、嗆咳、空腹高血糖、應激性潰瘍、齣血轉化是腦梗死後 SAP 髮生的重要預測因素。因此通過臨床指標的觀測，及早識彆及針對性地採取預防措施，可以降低 SAP 的髮生率、減少住院時間、降低病死率、改善卒中預後。
목적：분석급성뇌경사환자졸중상관성폐염적위험인소。방법회고성수집1084례급성뇌경사환자적림상자료，분석뇌경사급성기졸중상관성폐염（ASP）적풍험。결과재1084례환자중병발폐염270례（24．9％），경과단인소분석，장차이유통계학의의적변량납입다변량 Logistic 회귀분석，결과현시：년령≥70세、만성지기관염、저백단백혈증、대면적뇌경사、비사、의식장애、창해、공복고혈당、응격성궤양、출혈전화등시뇌경사환자급성기 SAP 위험인소。결론년령≥70세、만성지기관염、저백단백혈증、대면적뇌경사、비사、의식장애、창해、공복고혈당、응격성궤양、출혈전화시뇌경사후 SAP 발생적중요예측인소。인차통과림상지표적관측，급조식별급침대성지채취예방조시，가이강저 SAP 적발생솔、감소주원시간、강저병사솔、개선졸중예후。
Objective To investigate the risk factors for stroke‐associated pneumonia (SAP ) in patients with acute cerebral infraction .Methods The clinical data of 1 084 acute cerebral infraction patients were retrospec‐tively analyzed and the risk factors for stroke‐associated pneumonia after cerebral infraction were assessed.Results Of 1 084 cases ,270 cases (24 .9% ) occurred SAP .Using univariate analysis ,a total of 17 factors with statisti‐cal significance were included ,and then multivariate logistic regressive analysis revealed that age ≥ 70 years ,chron‐ic bronchitis ,lower level of serum albumin ,massive cerebral infarction ,nasogastric tube feeding ,unconscious‐ness ,dysphagia ,stress ulcer and hemorrhagic transformation were determined as the independent risk factors for SAP( P < 0 .05) .Conclusion Age ≥ 70 years ,chronic bronchitis ,lower level of serum albumin ,massive cerebral infarction ,nasogastric tube feeding ,unconsciousness ,dysphagia ,stress ulcer and hemorrhagic transformation were observed as important predictors of SAP after acute cerebral infarction .Therefore ,through the observation of clinical indicators ,the risk of SAP can be distinguished ,and targeted measures can be used to reduce the incidence of SAP ,the hospitalization days ,the mortality rate and improve the prognosis.
