中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
11期
94-96
,共3页
脑卒中%肺炎%危险因素%预后分析
腦卒中%肺炎%危險因素%預後分析
뇌졸중%폐염%위험인소%예후분석
Stroke%Pneumonia%Risk factors%Prognosis of analysis
目的：探讨脑卒中相关性肺炎（SAP）的危险因素及预后。方法回顾性分析本院脑外科2012年6月至2013年6月住院的80例脑卒中患者的临床资料，其中24例发生SAP作为SAP组，56例未发生SAP作为非SAP组，分析可能影响SAP发生的相关性因素及患者预后。结果单因素分析显示，年龄、卒中类型、吞咽困难、意识障碍、住院时间、器官相关手术及吸烟史的不同分类间感染率比较差异具有显著性（P＜0.05），基础疾病不同分类间感染率比较差异无显著性（P＞0.05）；根据单因素及多因素的Logistic回归分析结果显示，卒中类型、吞咽困难、器官相关手术、基础疾病及吸烟是SAP发病的独立危险因素；SAP组患者死亡率（16.7%）明显高于非SAP组，差异具有显著性（P＜0.05）；SAP组患者出院美国国立卫生研究所脑卒中评分（NIHSS）减少百分率明显低于非SAP组，差异具有显著性（P＜0.05）。结论脑卒中患者合并卒中类型、吞咽困难、器官相关手术、基础疾病以及吸烟是SAP发病的独立危险因素，可进一步影响患者机体功能恢复和预后，临床上应引起重视并尽早采取合理的治疗和干预措施，对防治SAP的发生具有重要意义。
目的：探討腦卒中相關性肺炎（SAP）的危險因素及預後。方法迴顧性分析本院腦外科2012年6月至2013年6月住院的80例腦卒中患者的臨床資料，其中24例髮生SAP作為SAP組，56例未髮生SAP作為非SAP組，分析可能影響SAP髮生的相關性因素及患者預後。結果單因素分析顯示，年齡、卒中類型、吞嚥睏難、意識障礙、住院時間、器官相關手術及吸煙史的不同分類間感染率比較差異具有顯著性（P＜0.05），基礎疾病不同分類間感染率比較差異無顯著性（P＞0.05）；根據單因素及多因素的Logistic迴歸分析結果顯示，卒中類型、吞嚥睏難、器官相關手術、基礎疾病及吸煙是SAP髮病的獨立危險因素；SAP組患者死亡率（16.7%）明顯高于非SAP組，差異具有顯著性（P＜0.05）；SAP組患者齣院美國國立衛生研究所腦卒中評分（NIHSS）減少百分率明顯低于非SAP組，差異具有顯著性（P＜0.05）。結論腦卒中患者閤併卒中類型、吞嚥睏難、器官相關手術、基礎疾病以及吸煙是SAP髮病的獨立危險因素，可進一步影響患者機體功能恢複和預後，臨床上應引起重視併儘早採取閤理的治療和榦預措施，對防治SAP的髮生具有重要意義。
목적：탐토뇌졸중상관성폐염（SAP）적위험인소급예후。방법회고성분석본원뇌외과2012년6월지2013년6월주원적80례뇌졸중환자적림상자료，기중24례발생SAP작위SAP조，56례미발생SAP작위비SAP조，분석가능영향SAP발생적상관성인소급환자예후。결과단인소분석현시，년령、졸중류형、탄인곤난、의식장애、주원시간、기관상관수술급흡연사적불동분류간감염솔비교차이구유현저성（P＜0.05），기출질병불동분류간감염솔비교차이무현저성（P＞0.05）；근거단인소급다인소적Logistic회귀분석결과현시，졸중류형、탄인곤난、기관상관수술、기출질병급흡연시SAP발병적독립위험인소；SAP조환자사망솔（16.7%）명현고우비SAP조，차이구유현저성（P＜0.05）；SAP조환자출원미국국립위생연구소뇌졸중평분（NIHSS）감소백분솔명현저우비SAP조，차이구유현저성（P＜0.05）。결론뇌졸중환자합병졸중류형、탄인곤난、기관상관수술、기출질병이급흡연시SAP발병적독립위험인소，가진일보영향환자궤체공능회복화예후，림상상응인기중시병진조채취합리적치료화간예조시，대방치SAP적발생구유중요의의。
Objective To discuss the risk factors and prognosis of stroke associated pneumonia (SAP). Method Retrospective analysed the clinical data of 80 cases of stroke patients in our hospital from June 2012 to June 2013, among 24 cases of SAP as SAP group, 56 cases did not occur as non-SAP Group. Analysed the related factors that could effect the occurrence of SAP and the prognosis of patients. Result Univariate analysis showed that, age, type of stroke, dysphagia, disturbance of consciousness, hospitalized time, organs related surgery and smoking history, different classiifcation between the infection rate there was signiifcant difference (P < 0.05). Infection rates among different categories of underlying disease was no signiifcant difference (P > 0.05). According to univariate logistic regression and multivariate analysis showed that, type of stroke, dysphagia, organ-related surgery, underlying diseases and smoking were the independent risk factors for the onset of SAP. Patients in SAP group mortality (16.7%) was significantly higher than non-SAP group, the difference was signiifcant (P < 0.05). SAP group patients discharged from hospital NIHSS reduction percentage was obviously lower than in non-SAP group, the difference was signiifcant (P<0.05). Conclusion Cerebral stroke with the type of stroke, dysphagia, organ related surgery, basic disease and smoking are independent risk factors for SAP disease, can further affect the body function recovery of patients and prognosis, clinical should pay attention to the treatment and intervention measures taken as soon as possible, which has important signiifcance in preventing and controlling SAP.
