急性脑卒中患者并发肺部感染的相关因素分析

目的探讨急性脑卒中患者并发肺部感染的相关危险因素并提出相应干预措施。方法分析450例急性脑卒中患者的临床治疗资料,统计急性脑卒中患者并发肺部感染的相关因素。结果经单因素及多因素分析,患者年龄≥65岁、住院时间>3周,有脑卒中、慢性肺病史,意识障碍和吞咽困难,出血性脑卒中,合并糖尿病、低蛋白血症、肾功能不全等均为急性脑卒中并发肺部感染的独立危险因素。结论在临床工作中应采取相应措施进行积极预防,早发现、早治疗,降低肺部感染发生率,改善患者预后。

Analysis of related factors and intervening measures for acute stroke patients complicated by pulmonary infection

Objective To investigate the related risk factors of patients with acute stroke complicated with pulmonary infection and to propose the relevant intervening measures. Methods The clinical data of 450 patients with acute stroke were retrospectively ana- lyzed to summarize the related factors of patients with acute stroke complicated with pulmonary infection. Results Through the single-fac- tor and multi-factors analysis, the independent risk factors included patients older than 65 years old, duration of hospital stay longer than 3 weeks, medical history of stroke and chronic pulmonary disease, disturbance of consciousness, dysphagia, hemorrhagic stroke, diabetes mellitus, hypoproteinemia and renal insufficiency. Conclusion In clinical practice, the corresponding measures should be taken positive- ly to prevent pulmonary infection and improve their prognosis and quality of life.