| 卒中相关性肺炎危险因素分析 |
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| 引用本文： | 韩杰,王俊平,李明.卒中相关性肺炎危险因素分析[J].中华全科医师杂志,2010,9(9):635-637. |
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| 作者姓名： | 韩杰 王俊平 李明 |
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| 作者单位： | 大连医科大学第一附属医院神经内科,116011 |
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| 摘 要： | 回顾性分析本院2005年1月至2007年1月595例脑卒中患者的临床资料,310例（52.1%）发生卒中相关性肺炎,其中早发性肺炎（卒中后72 h内发生的肺炎）225例（72.6%）,晚发性肺炎85例（27.4%）.早发性肺炎住院时间≥2周者113例（50.3%）,晚发性肺炎＜1周发病者60例（70.6%）.年龄＞65岁（OR=1.037）、糖尿病（OR=1.724）、Glasgow评分≤8分（OR=0.908）、鼻饲治疗（OR=6.640）、胃黏膜保护剂（OR=3.581）、预防性使用抗生素（OR=2.433）是卒中相关性肺炎的危险因素.
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| 关 键 词： | 脑血管意外 肺炎 |
Analysis of risk factors for stroke-associated pneumonia |
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| HAN Jie,WANG Jun-ping,LI Ming.Analysis of risk factors for stroke-associated pneumonia[J].Chinese JOurnal of General Practitioners,2010,9(9):635-637. |
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| Authors: | HAN Jie WANG Jun-ping LI Ming |
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| Institution: | 1.Department of Neurology, the First Affiliated Hospital of Dalian Medical University, 116011, China;) |
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| Abstract: | Clinical data of 595 patients of stroke admitted to the First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning were analyzed retrospectively, 310 (52. 1% ) of them with strokeassociated pneumonia (SAP). Early-onset pneumonia occurred in 225 patients (72.6%), and late-onset pneumonia in 85 (27.4%). Patients with length of hospital-stay equal to or more than two weeks accounted for (113 cases) 50. 3% of those with early-onset pneumonia, whereas patients with length of hospital-stay less than one week (60 cases) accounted for 70. 6% of those with late-onset pneumonia. Age above 65 years ( OR = 1. 037 ), diabetes ( OR = 1. 724), Glasgow coma scores equal to or less than eight ( OR = 0. 098 ),nasal feeding ( OR = 6. 640 ), administration of gastric mucosal protective drugs ( OR = 3. 581 ) and antibiotic prophylaxis ( OR = 2. 433) all were risk factors for SAP. |
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| Keywords: | Cerebrovascular accident Pneumonia |
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