[1]王晶晶.进展性脑卒中患者肺部感染危险因素分析[J].新乡医学院学报,2022,39(1):085-87.[doi:10.7683/xxyxyxb.2022.01.018]
　WANG Jingjing.Risk factors for pulmonary infection in patients with progressive stroke[J].Journal of Xinxiang Medical University,2022,39(1):085-87.[doi:10.7683/xxyxyxb.2022.01.018]
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进展性脑卒中患者肺部感染危险因素分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
39
期数:
2022年1
页码:
085-87
栏目:
临床研究
出版日期:
2022-01-05

文章信息/Info

Title:
Risk factors for pulmonary infection in patients with progressive stroke
作者:
王晶晶
(河南大学第一附属医院感染性疾病科,河南　开封　475001)
Author(s):
WANG Jingjing
(Department of Infectious Diseases,the First Affiliated Hospital of Henan University,Kaifeng 475001,Henan Province,China)
关键词:
进展性脑卒中; 肺部感染; 危险因素
Keywords:
progressive strokepulmonary infectionrisk factor
分类号:
R743.3
DOI:
10.7683/xxyxyxb.2022.01.018
文献标志码:
A
摘要:
目的　探讨进展性脑卒中患者合并肺部感染的危险因素。方法　收集2018年6月至2020年12月河南大学第一附属医院收治的236例进展性脑卒中患者的临床资料，根据患者是否合并肺部感染将患者分为感染组（n=61）和非感染组（n=175），分析进展性脑卒中患者发生肺部感染的危险因素。结果　进展性脑卒中患者的年龄、脑卒中类型、吞咽困难、意识障碍、合并基础疾病、卧床时间及应用抗菌药物与合并肺部感染有关（P<0.05）；患者的性别与合并肺部感染无关（P>0.05）。Logistic回归分析结果显示，年龄≥70岁、合并基础疾病、吞咽困难、意识障碍、卧床时间≥10 d是进展性脑卒中患者合并肺部感染的危险因素（P<0.05）；疾病类型为脑出血、应用抗菌药物与进展性脑卒中患者合并肺部感染无关（P>0.05）。结论　高龄、合并基础疾病、吞咽困难、意识障碍、长期卧床是进展性脑卒中患者发生肺部感染的危险因素，应提早采取干预措施预防肺部感染。
Abstract:
Objective　To explore the risk factors for pulmonary infection in patients with progressive stroke.Methods　The clinical data of 236 patients with progressive stroke treated in the First Affiliated Hospital of Henan University from June 2018 to December 2020 were collected.The patients were divided into infection group (n=61) and non-infection group (n= 175) according to whether the patients complicated with pulmonary infection.The risk factors of pulmonary infection in patients with progressive stroke were analyzed.Results　The age,stroke type,dysphagia,disturbance of consciousness,combined with basic diseases,the time of bed rest and the use of antibiotics of patients were related to pulmonary infection (P<0.05)the gender of patients was not related to pulmonary infection (P>0.05).Logistic regression analysis showed that age≥70 years old,combined with basic diseases,dysphagia,disturbance of consciousness and the time of bed rest ≥10 d were the risk factors of pulmonary infection in patients with progressive stroke(P<0.05)the disease type was intracerebral hemorrhage，the use of antibiotics were not related to pulmonary infection in patients with progressive stroke (P>0.05).Conclusion　Old age,complicated with basic diseases,dysphagia,disturbance of consciousness and long-term bed rest are the risk factors of pulmonary infection in patients with progressive stroke.Early intervention measures should be taken to prevent pulmonary infection.

参考文献/References:

［1］　TOPPING M,KIM J,FLETCHER J.Association and pathways of birth in the stroke belt on old age dementia and stroke mortality［J］.SSM Popul Health,2021,15：100841.
［2］　ESCAMILLA O C E,ACOSTA G T,DAMANI R,et al.Inpatient complications and mortality of stroke in costa rica：a seven-year hospital-based acute stroke registry of 1 319 patients［J］.Neurology,2020,94(15)：1-2.
［3］　FERNNDEZ-POMBO A,SEIJO-RAPOSO I M,LPEZ-OSORIO N,et al.Lesion location and other predictive factors of dysphagia and its complications in acute stroke［J］.Clin Nutr ESPEN,2019,33：178-182.
［4］　KENMOGNE-DOMNING G H,KAMTCHUM-TATUENE J,NOUMEGNI S R,et al.Cardiac complications after stroke：protocol for a systematic review and meta-analysis［J］.BMJ Open,2018,8(5)：e021416.
［5］　中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018［J］.中华神经科杂志,2018,51(9)：666-682.
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更新日期/Last Update: 2022-01-05