脑卒中患者急性期肺部感染危险因素分析

目的探讨脑卒中患者急性期的医院肺部感染危险因素以便采取有效的控制措施。方法回顾性分析2000年2月-2008年2月的268例脑卒中患者并发肺部感染患者的临床资料作相关危险因素分析。结果268例患者中发生医院肺部感染47例，感染率为17．5％。肺部感染的发生与患者年龄、卒中性质、意识状态、吞咽障碍、卧床时间等有密切关系。结论脑卒中患者急性期肺部感染与多种因素相关，发生肺部感染影响脑卒中患者的预后。避免感染的易患因素和合理使用抗生素是防治感染的关键措施。

Analysis on Risk Factors of Stroke in Patients with Acute Pulmonary Infection

Objective To explore the risk factors of stroke in patients with acute lung infection in hospital in order to take effective control measures.Methods The clinical data of 268 stroke patients with pulmonary infection from February 2000 to February 2008 were retrospectively analyzed for discussion of related risk factors. Results Of 268 cases, pulmonary infection occurred in 47 cases （17.5%）. The occurrence of pulmonary infection was closely related to the patients＇ age, the nature of stroke, consciousness, dysphagia, bed-time, etc. Conclusion The stroke in patients with acute pulmonary infection is associated with a variety of factors, in which the lung infection affects the prognosis of stroke patients. Avoidance of the risk factors of infection and the rational use of antibiotics is the key to infection prevention and control measures.