CAJ | 학술논문

目的：探讨急性脑血管病并发医院获得性肺炎的感染危险因素。方法选择2011年1月至2013年12月急性脑血管病患者228例，分析其医院获得性肺炎的感染危险因素。结果急性脑血管病并发医院获得性肺炎的患病率为28．07％，合并医院获得性肺炎的患者病死率低于未合并医院获得性肺炎者，患者肺部感染发生率与病种及病情相关，脑出血及蛛网膜下腔出血、重症脑血管病患者医院获得性肺炎患病率明显高于脑梗死、非重症脑血管病患者医院获得性肺炎者。结论加强对患者肺部基础疾病的重视，控制气管切开及日常住院感染控制，根据患者的病情采取及时有效措施，积极抗感染，降低病死率的同时可提高临床治疗效果。
목적：탐토급성뇌혈관병병발의원획득성폐염적감염위험인소。방법선택2011년1월지2013년12월급성뇌혈관병환자228례，분석기의원획득성폐염적감염위험인소。결과급성뇌혈관병병발의원획득성폐염적환병솔위28．07％，합병의원획득성폐염적환자병사솔저우미합병의원획득성폐염자，환자폐부감염발생솔여병충급병정상관，뇌출혈급주망막하강출혈、중증뇌혈관병환자의원획득성폐염환병솔명현고우뇌경사、비중증뇌혈관병환자의원획득성폐염자。결론가강대환자폐부기출질병적중시，공제기관절개급일상주원감염공제，근거환자적병정채취급시유효조시，적겁항감염，강저병사솔적동시가제고림상치료효과。
Objective To investigate the infection risk factors of acute cerebrovascular disease complicated with hospital-acquired pneumonia.Methods From January 2011 to December 2013, 228 patients with acute cerebrovascular disease were selected, and their infection risk factors of hospital-acquired pneumonia were analyzed.Results The inci-dence of acute cerebrovascular disease complicated with hospital-acquired pneumonia was 28.07%, the mortality of patients with hospital-acquired pneumonia was less than that of patients without hospital-acquired pneumonia, the incidence of lung infections was correlatied with disease and illness.The incidence of hospital-acquired pneumonia of patients with cerebral hemorrhage and subarachnoid hemorrhage, severe brain disease was significantly higher than that of patients with cerebral infarction, non-severe cerebrovascular disease.Conclusions Strengthen the attention of patients with lung disease, con-trol tracheotomy and daily hospital infection, to take timely and effective measures accordance with the patient’ s condition, positive anti-infection, reduce mortality and improve clinical outcomes.