重症脑卒中患者合并肺部感染的原因调查与护理对策

目的：探讨重症脑卒中患者肺部感染的危险因素，以制定预防、护理对策。方法回顾性分析2010年1月-2013年10月收治的56例重症脑卒中患者肺部感染的发生情况，所有患者根据是否发生肺部感染分为感染组和非感染组，比较两组患者的年龄、GCS评分和鼻饲情况。结果56例患者出现肺部感染34例，肺部感染发生率达60．71％。与非感染组比较，感染组的年龄更高（69．77±13．48）岁，GCS评分更低（8．79±3．22）分，鼻饲比例更高（82．35％），差异均有统计学意义（t值分别为20．71，15．94，χ2＝8．23；P＜0．01）。结论年龄大、GCS评分低、鼻饲是重症脑卒中患者肺部感染发生的危险因素。临床上应针对高危患者采取相应的预防、治疗、护理措施，减少肺部感染的发生，改善预后。

Nursing strategy and cause analysis on severe stroke patients with pulmonary infection

Objective To investigate the risk factors of severe stroke patients with pulmonary infection and to make nursing preventive measure .Methods A retrospective analysis of 56 severe stroke patients received from January 2010 to October 2013 of pulmonary infection incidence rate .All patients were divided into infection group and uninfection group , the age, GCS scale and nasal feeding state were compared between the two groups .Results Among the severe stroke patients , 34 cases had pulmonary infection .The infection incidence rate was 60.71%.Compared with uninfection group , the patients in infection group were older （69.77 ±13.48）, with lower GCS scale （8.79 ±3.22）and higher nasal feeding proportion （82.35%）, there were significant difference （t=20.71,15.94,respectively,χ2 =8.23;P〈0.01）.Conclusions The elder age, low GCS score, nasal feeding are the risk factors of sever stroke patients to get pulmonary infection .To the high-risk patients clinically appropriate prevention ,treatment, care measures should be used to reduce the incidence of pulmonary infections and improve prognosis .