摘要
目的分析老年脑出血患者并下呼吸道感染的相关危险因素及预后,探讨有效的防治措施。方法将180例脑出血患者分为感染组与非感染组,探讨老年脑出血患者并下呼吸道感染的相关危险因素,分析2组患者在神经功能缺损评分、平均住院时间及病死率方面的差异。结果脑出血患者并下呼吸道感染的的相关危险因素有:吞咽障碍、意识障碍、基础肺病、糖尿病及出血量,感染组出院时神经功能缺损评分为(18.6±13.2),非感染组为(12.2±10.3),两者差异有统计学意义(P<0.05);感染组平均住院时间为21d,非感染组为12d,两者差异有显著统计学意义(P<0.01);感染组病死率为52.3%(33/63);非感染组为34.2%(49/117),2组比较差异有显著性意义(P<0.01)。结论应高度重视老年脑出血患者合并下呼吸道感染的相关危险因素,合理使用抗生素,加强防治措施,降低脑出血后肺部感染的发生率。
Objective To analyze the risk factors and prognosis of Elderly acute cerebral hemorrhage patients compicated with lower respiratory tract infection ,and explore effective prevention and control measures. Methods One hundred and eighty cases with cerebral hemorrhage were divided into infected group and non-infected group ,the related risk factors of elderly cerebral hemorrhage patients with pulmonary infection were investigated.Neurological deficit scores ,average hospital stay and mortality of the two groups were analyzed. Results Related risk factors for cerebral hemorrhage patients with pulmonary infection were swallowing disorder ,disturbance of consciousness ,the basis of lung disease ,diabetes ,and the amount of bleeding. Neu-rological deficit scores in the discharge of infected group was （18.6 ± 13.2） ,In non-infection group ,it was （12.2 ± 10.3） , the difference was statistically significant （P〈0.05）;In the infection group ,the average hospitalization time was 21 days ,in the no infection group ,it was 12 days ,there was asignificant difference between the two groups （P 〈0.01）;the mortality rate of the infected group was 52.3% （33/63）;which of non-infection group was 34.2% （49/117） ,the difference was statistically significant （P〈0.01）.Conclusion We should pay great attention to the related risk factors of patients with pulmonary infection in elderly patients with cerebral hemorrhage ,rationally use antibiotics ,strengthen prevention and control measures to reduce the incidence of lung infection after cerebral hemorrhage.
出处
《中国实用神经疾病杂志》
2014年第10期30-31,共2页
Chinese Journal of Practical Nervous Diseases
关键词
老年脑出血
下呼吸道感染
危险因素
预后
Senile cerebral hemorrhage
Lower respiratory tract infection
Risk factors
Prognosis
