中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
10期
2265-2266,2275
,共3页
顾群%沈鸣华%钱铭净%孙如
顧群%瀋鳴華%錢銘淨%孫如
고군%침명화%전명정%손여
老年患者%急性脑卒中%肺部感染%危险因素%预防策略
老年患者%急性腦卒中%肺部感染%危險因素%預防策略
노년환자%급성뇌졸중%폐부감염%위험인소%예방책략
Elderly patient%Acute stroke%Pulmonary infection%Risk factor%Prevention strategy
目的：探讨老年急性脑卒中患者肺部感染的相关危险因素，总结预防策略，以降低感染率。方法选取2013年3月－2014年8月收治的70例脑卒中肺部感染患者为感染组，选择同期未发生肺部感染脑卒中患者60例为对照组，回顾性调查分析相关感染因素；采用SPSS13．0软件进行统计分析。结果单因素分析结果显示，年龄、脑卒中评分、卧床时间、住院天数、高血糖、慢性阻塞性肺疾病（COPD）病史、意识障碍、侵入性操作与肺部感染具有相关性（P＜0．05），进一步行多因素 logistic回归分析显示，年龄、高血糖、COPD病史、意识障碍、神经功能缺损、侵入性操作、卧床时间、住院天数是老年急性脑卒中患者肺部感染的危险因素。结论老年急性脑卒中合并肺部感染是多因素所导致，采取针对性的干预措施可有效降低肺部感染率，改善患者预后。
目的：探討老年急性腦卒中患者肺部感染的相關危險因素，總結預防策略，以降低感染率。方法選取2013年3月－2014年8月收治的70例腦卒中肺部感染患者為感染組，選擇同期未髮生肺部感染腦卒中患者60例為對照組，迴顧性調查分析相關感染因素；採用SPSS13．0軟件進行統計分析。結果單因素分析結果顯示，年齡、腦卒中評分、臥床時間、住院天數、高血糖、慢性阻塞性肺疾病（COPD）病史、意識障礙、侵入性操作與肺部感染具有相關性（P＜0．05），進一步行多因素 logistic迴歸分析顯示，年齡、高血糖、COPD病史、意識障礙、神經功能缺損、侵入性操作、臥床時間、住院天數是老年急性腦卒中患者肺部感染的危險因素。結論老年急性腦卒中閤併肺部感染是多因素所導緻，採取針對性的榦預措施可有效降低肺部感染率，改善患者預後。
목적：탐토노년급성뇌졸중환자폐부감염적상관위험인소，총결예방책략，이강저감염솔。방법선취2013년3월－2014년8월수치적70례뇌졸중폐부감염환자위감염조，선택동기미발생폐부감염뇌졸중환자60례위대조조，회고성조사분석상관감염인소；채용SPSS13．0연건진행통계분석。결과단인소분석결과현시，년령、뇌졸중평분、와상시간、주원천수、고혈당、만성조새성폐질병（COPD）병사、의식장애、침입성조작여폐부감염구유상관성（P＜0．05），진일보행다인소 logistic회귀분석현시，년령、고혈당、COPD병사、의식장애、신경공능결손、침입성조작、와상시간、주원천수시노년급성뇌졸중환자폐부감염적위험인소。결론노년급성뇌졸중합병폐부감염시다인소소도치，채취침대성적간예조시가유효강저폐부감염솔，개선환자예후。
OBJECTIVE To explore the related risk factors for pulmonary infections in the elderly patients with acute stoke and put forward the prevention strategies so as to reduce the infection rate .METHODS Totally 70 stroke patients with pulmonary infections who were treated in the hospital from Mar 2013 to Aug 2014 were as‐signed as the infection group ,meanwhile ,60 stoke patients without pulmonary infections were set as the control group ,then the related factors for the infections were retrospectively analyzed ,and the statistical analysis was performed with the use of SPSS13 .0 software .RESULTS The univariate analysis indicated that the pulmonary in‐fections were associated with the age ,stroke score ,bedridden time ,length of hospital stay ,high blood glucose , history of chronic obstructive pulmonary disease (COPD) ,disturbance of consciousness ,and invasive operation (P<0 .05) .The multivariate logistic regression analysis further showed that the age ,high blood glucose ,history of COPD ,disturbance of consciousness ,neurologic impairment ,invasive operation ,bedridden time ,and length of hospital stay were the risk factors for the pulmonary infections in the elderly patients with acute stroke . CONCLUSION There are a variety of factors that lead to the pulmonary infections in the elderly patients with acute stroke .It is an effective way to take targeted interventions so as to reduce the incidence of pulmonary infections and improve the prognosis of the patients .
