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老年脑卒中后遗症期患者肺炎危险因素的分析
作者单位:;1.上海市南京西路街道社区卫生服务中心
摘    要:目的探讨脑卒中后遗症期患者肺炎的危险因素。方法回顾性分析330例脑卒中后遗症期患者的临床资料,进行相关因素分析,其中肺炎患者171例和无肺炎患者159例。结果高龄(OR=2.586)、吸烟史(OR=2.353)、慢性心力衰竭(OR=2.062)、意识障碍(OR=2.319)、鼻饲(OR=4.708)、完全卧床(OR=2.471)及低白蛋白血症(OR=2.388)是脑卒中后遗症期肺炎的危险因素,高脂血症(OR=0.341)是其保护因素。结论脑卒中后遗症期肺炎发病率高,危险因素多。

关 键 词:卒中  肺炎  危险因素  发病率  吸烟  心力衰竭  意识障碍  后遗症期

Risk factors for pneumonia in elderly patients with cerebral stroke sequela
Abstract:Objective To study the risk factors for pneumonia in elderly patients with cerebral stroke sequela.Methods Clinical data about 330 elderly patients with cerebral stroke sequela(171 pneumonia patients and 159 pneumonia-free patients) were retrospectively analyzed.Results Advanced age(OR=2.586),history of smoking(OR=2.353),chronic heart failure(OR=2.062),dysbulia(OR=2.319),nasal feeding(OR=4.708),completely bedridden(OR=2.471) and hypoalbuminemia(OR=2.388) were the risk factors for pneumonia in patients with cerebral stroke sequela.Hyperglycemia(OR=0.341) was a protective factor for it.Conclusion The incidence of pneumonia is high in patients with cerebral stoke sequela due to a variate of risk factors.
Keywords:stroke  pneumonia  risk factors  incidence  smoking  heart failure  consciousness disorders  sequel period
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