摘要
目的探讨脑卒中患者肺部感染的危险因素及预防措施,为预防感染提供客观依据。方法选择2011年1月-2012年12月接受治疗的脑卒中并发肺部感染的286例患者作为感染组,同期选取期脑卒中未发生肺部感染的286例患者作为对照组,对两组患者的临床资料进行统计分析,分析脑卒中并发肺部感染的危险因素,并提出预防措施。结果感染组286例患者中,年龄>60岁、卧床>1周、有意识障碍、假性延髓性麻痹、有侵入性操作、营养不良、有慢性支气管炎等是发生肺部感染的危险因素,其分布率分别为87.06%、85.31%、31.82%、25.87%、45.45%、18.88、27.27%;与对照组66.43%、45.45%、11.19%、10.14%、12.94%、7.69%、9.79%比较,差异均有统计学意义(P<0.05),两组患者在住院时间与高血压方面比较,差异无统计学意义。结论脑卒中合并肺部感染与多种相关因素有关,为预防脑卒中患者发生肺部感染,应做好患者的临床护理工作,保证患者的营养,并减少治疗过程中不必要的侵入性操作,对患者的基础病进行合理治疗,以防止患者感染的发生。
OBJECTIVE To explore the risk factors and preventive measures of concurrent pulmonary infections of stroke, and provide objective basis for the prevention of infections. METHODS A total of 286 cases of stroke patients with pulmonary infections from Jan. 2011 to Dec. 2012 were selected as the infection group, and then 286 cases from the same period stroke patients without pulmonary infection were selected as control group. The clinical data of the patients in the two groups were statistically analyzed and the analysis of risk factors for concurrent pulmonary infection of stroke were performed,and preventive measures were put forward. RESULTS In 286 cases of patients of infection group, age〉 60 years, patients lying in bed）〉 1 week, disturbance of consciousness, false bulbar palsy, invasive operation, malnutrition, chronic bronchitis were the risk factors of the pulmonary infections. The distribution rates were 87. 06%, 85. 31%, 31. 82%, 25. 87%, 45. 45%, 18. 88,27. 27% in the infection group and in the control group, the rates were 66.43 %, 45.45% ,11.19%, 10.14%,12.94%, 7.69%, 9. 79%, respectively, and the difference between the two groups was significant （P〈0. 05）. The differences in hospital stay and blood pressure between the two groups were not significant. CONCLUSION The result of concurrent pulmonary infections of stroke is conducted by multiple risk factors. For the prevention of pulmonary infections in patients with stroke, clinical care of patients should be prepared to ensure the patient＇s nutrition during treatment and unnecessary invasive procedures should be reduced, proper treatment should be performed on the patient＇s underlying disease in order to prevent infections in patients.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第11期2716-2718,共3页
Chinese Journal of Nosocomiology
基金
浙江省医药卫生科技基金项目(2010KYE062)
关键词
脑卒中
肺部感染
危险因素
预防措施
Stroke
Pulmonary infection
Risk factors
Preventive measures
