中国临床新医学
中國臨床新醫學
중국림상신의학
Chinese Journal of New Clinical Medicine
2015年
10期
972-974,975
,共4页
黄彦飞%韩敏%罗文静%刘波
黃彥飛%韓敏%囉文靜%劉波
황언비%한민%라문정%류파
卒中相关性肺炎%老年%病原学%危险因素
卒中相關性肺炎%老年%病原學%危險因素
졸중상관성폐염%노년%병원학%위험인소
Stroke-associated pneumonia( SAP)%Elderly patients%Etiology%Risk factors
目的:探讨老年脑卒中相关性肺炎( SAP)的病原学特点及危险因素。方法对239例老年脑卒中患者的慢性基础疾病、意识状态、有无侵入性操作、病原学检查结果、药物使用情况等临床资料进行回顾性调查,比较分析SAP的病原学特点及相关危险因素。结果239例老年脑卒中患者发生SAP 56例,感染率为23.4%,例次感染率为26.8%,感染病原菌以革兰氏阴性杆菌为主,占65.0%,排在前三位的病原菌依次是铜假绿单胞菌(23.8%)、鲍蔓不动杆菌(16.3%)、肺炎克雷伯菌(15.0%)。住院天数≥30 d、有侵入性操作、有意识障碍、使用多种抗菌药物、有慢性基础病等是SAP的危险因素。结论老年脑卒中患者是SAP的高危人群,应重点监测,控制相关危险因素,积极采取个性化的预防措施,以有效地降低SAP的发生率。
目的:探討老年腦卒中相關性肺炎( SAP)的病原學特點及危險因素。方法對239例老年腦卒中患者的慢性基礎疾病、意識狀態、有無侵入性操作、病原學檢查結果、藥物使用情況等臨床資料進行迴顧性調查,比較分析SAP的病原學特點及相關危險因素。結果239例老年腦卒中患者髮生SAP 56例,感染率為23.4%,例次感染率為26.8%,感染病原菌以革蘭氏陰性桿菌為主,佔65.0%,排在前三位的病原菌依次是銅假綠單胞菌(23.8%)、鮑蔓不動桿菌(16.3%)、肺炎剋雷伯菌(15.0%)。住院天數≥30 d、有侵入性操作、有意識障礙、使用多種抗菌藥物、有慢性基礎病等是SAP的危險因素。結論老年腦卒中患者是SAP的高危人群,應重點鑑測,控製相關危險因素,積極採取箇性化的預防措施,以有效地降低SAP的髮生率。
목적:탐토노년뇌졸중상관성폐염( SAP)적병원학특점급위험인소。방법대239례노년뇌졸중환자적만성기출질병、의식상태、유무침입성조작、병원학검사결과、약물사용정황등림상자료진행회고성조사,비교분석SAP적병원학특점급상관위험인소。결과239례노년뇌졸중환자발생SAP 56례,감염솔위23.4%,례차감염솔위26.8%,감염병원균이혁란씨음성간균위주,점65.0%,배재전삼위적병원균의차시동가록단포균(23.8%)、포만불동간균(16.3%)、폐염극뢰백균(15.0%)。주원천수≥30 d、유침입성조작、유의식장애、사용다충항균약물、유만성기출병등시SAP적위험인소。결론노년뇌졸중환자시SAP적고위인군,응중점감측,공제상관위험인소,적겁채취개성화적예방조시,이유효지강저SAP적발생솔。
Objective To investigate the etiology features and risk factors of stroke-associated pneumonia ( SAP) in elderly patients.Methods A retrospective study was performed to analyze the clinical characteristics, the etiology features and risk factors in 239 elderly patients with SAP.The clinical characteristics included chronic basic diseases, state of consciousness, invasive operation, results of pathogens tests and medication.Results Among 239 cases, 56 infected with SAP.The infection rate was 23.4% and the case-time infection rate was 26.8%.The re-sponsible pathogens were gram negative bacteria, accounting for 65.0%, which included Pseudomonas aeruginosa (23.8%), Bauman acinetobacter(16.3%) and Klebsiella pneumoniae(15.0%).Hospitalization≥30 days, inva-sive operation, disturbance of consciousness, multiple antibiotics therapy and chronic basic diseases were the risk fac-tors of SAP.Conclusion Elderly patients are susceptible to SAP.Increasing the awareness of controlling the risk factors and administering appropriate therapy help to prevent the development of SAP in the elderly .