CAJ | 학술논문

目的：探讨老年脑梗死患者发生肺部感染的危险因素及肺部感染对老年脑梗死患者预后的影响。方法回顾性分析临沂市沂水中心医院2013年10月至2014年5月符合条件的老年脑梗死患者968例的临床资料，统计肺部感染发生率并探讨其危险因素及对患者预后的影响。结果本组患者肺部感染发生率为10.32%，其中上呼吸道感染占18.0%，下呼吸道感染占82.0%；医院感染的发生率与患者年龄、性别无关（ P>0.05），与患者意识障碍、住院时间及侵入性操作有关（P<0.05）；发生肺部感染的患者死亡率增加，NIHISS评分下降程度差异有统计学意义（ P<0.01）；发生肺部感染患者住院时间延长，住院费用增加。结论老年脑梗死患者肺部感染发生率高，意识障碍、住院时间及侵入性操作是老年脑梗死患者肺部感染的主要危险因素，肺部感染严重影响患者预后。
목적：탐토노년뇌경사환자발생폐부감염적위험인소급폐부감염대노년뇌경사환자예후적영향。방법회고성분석림기시기수중심의원2013년10월지2014년5월부합조건적노년뇌경사환자968례적림상자료，통계폐부감염발생솔병탐토기위험인소급대환자예후적영향。결과본조환자폐부감염발생솔위10.32%，기중상호흡도감염점18.0%，하호흡도감염점82.0%；의원감염적발생솔여환자년령、성별무관（ P>0.05），여환자의식장애、주원시간급침입성조작유관（P<0.05）；발생폐부감염적환자사망솔증가，NIHISS평분하강정도차이유통계학의의（ P<0.01）；발생폐부감염환자주원시간연장，주원비용증가。결론노년뇌경사환자폐부감염발생솔고，의식장애、주원시간급침입성조작시노년뇌경사환자폐부감염적주요위험인소，폐부감염엄중영향환자예후。
Objective To investigate the risk factors of pulmonary infection in elderly patients with cerebral infarc-tion,pulmonary infection and the impact on the prognosis of patients with cerebral infarction in elderly. Methods A retro-spective analysis of the clinical data in the hospital from October 2013 to May 2014 in line with the conditions of elderly pa-tients with cerebral infarction was conducted,and explore the incidence of pulmonary infection statistics and the risk factors and the impact on patient prognosis. Results The pulmonary infection rate was 10. 32%,of which the upper respiratory tract infection rate was 18. 0%,the lower respiratory tract infection rate was 82. 0%. The incidence of pulmonary infection was irrelated with the patients age and sex(P>0. 05),but was related with disturbance of consciousness,length of hospital stay and invasive operation(P<0. 05). Mortality in patients with pulmonary infection increased,NIHISS scores declined, and the differences were significant(P<0. 01). Duration of hospitalization prolonged in patients with pulmonary infection, hospital costs increased. Conclusions The incidence of pulmonary infections in elderly patients with cerebral infarction is high;disturbance of consciousness,length of hospital stay and invasive operation are major risk factors for pulmonary infec-tions in elderly patients with cerebral infarction,has serious effect on the prognosis of patients with pulmonary infection.