老年脑卒中患者医院内获得性肺炎临床研究

目的探讨老年脑卒中患者医院内获得性肺炎的临床特点及防治措施。方法对神经内科2003年1月-2005年12月742例老年脑卒中住院治疗患者,进行回顾性调查分析研究。结果医院内获得性肺炎感染率为12.26%,其中脑出血23.79%、脑梗死6.48%;老年脑卒中患者发生医院内获得性肺炎与有吞咽障碍而导致的误吸、病情严重程度、意识状态、住院时间、合并糖尿病等因素有重要关系,而与性别及卒中类型无关。结论老年脑卒中患者医院内获得性肺炎应以预防为主,合理应用抗菌药物,采取综合治疗措施。

Nosocomial Acquired Pneumonia in Elderly Patients with Cerebral Apoplexy

OBJECTIVE To investigate the clinical features of nosocomial acquired pneumonia in elderly patients with apoplexy.METHODS A retrospective study was carried out to investigate the clinical data of 724 elderly patients with apoplexy in Department of Neurology during Jan 1st,2003 to Dec 31st,2005.RESULTS The nosocomial acquired pneumonia rate was 12.26%.The nosocomial infection rate in patients with cerebral hemorrhage and cerebral infarction was 23.79% and 6.48%,respectively.The incidence rate of nosocomial acquired pneumonia was related positively to long time in hospital,underlying disease severity,consciousness,swallow,preventive antibiotic therapy and diabetes.CONCLUSIONS More attention should be paid in clinical treatment and nursing care in order to lowering the occurrence of the nosocomial acquired pneumonia.