摘要
目的分析脑卒中相关性肺炎(SAP)发生的危险因素,为防治措施提供参考。方法回顾性分析205例脑卒中患者的临床资料,根据是否发生肺炎分为SAP组及正常组,对SAP发生的危险因素进行Logistic回归分析。结果 205例患者中43例发生肺炎,占20.98%;Logistic回归分析显示年龄≥65岁(OR=3.95,P<0.05)、吸烟(OR=2.27,P<0.05)、意识障碍(OR=3.73,P<0.05)、吞咽困难(OR=4.25,P<0.05)、营养不良(OR=6.05,P<0.05)、行气管切开术(OR=7.11,P<0.05)、糖尿病(OR=4.26,P<0.05)是SAP发生的独立危险因素。结论 SAP发生的危险因素复杂,临床应加强脑卒中患者呼吸道管理,消除应激状态下的高血糖,进行充分的吞咽康复治疗,加强营养支持,积极降低SAP发生率。
Objective To analyze the risk factors of SAP,in order to provide a reference for the prevention and control measures. Methods 205 patients with stroke were divided into the SAP group and the normal group according to pneumonia or not. The risk factors were analyzed by logistic regression analysis. Results 43 patients were complicated with pneumonia,accounting for 20. 98%. Logistic regression analysis showed that age≥65 years（ OR =3. 95,P〈 0.05）,smoking（ OR = 2. 27,P〈 0.05）,disturbance of consciousness（ OR = 3. 73,P〈 0.05）,dysphagia（ OR = 4. 25,P〈 0.05）,malnutrition（ OR = 6. 05,P〈 0.05）,tracheotomy（ OR = 7. 11,P〈 0.05）,diabetes（ OR = 4. 26,P〈 0.05） were independent risk factors. Conclusion The risk factors for the occurrence of SAP are complex. The clinical management of patients with respiratory stroke should be strengthened to eliminate high blood sugar under stress,give adequate swallowing rehabilitation and nutritional support.
出处
《临床肺科杂志》
2015年第5期895-897,共3页
Journal of Clinical Pulmonary Medicine
关键词
脑卒中相关性肺炎
危险因素
防治
stroke associated with pneumonia
risk factors
prevention
