摘要
目的探讨导致急性脑血管疾病发生卒中相关性肺炎因素及干预措施。方法收集2015年1月—2017年12月180例脑血管疾病患者的临床资料(其中30例发生卒中相关性肺炎150例未发生卒中相关性肺炎),分析卒中相关性肺炎发生的相关影响因素。结果卒中相关性肺炎组年龄(72.25±8.23)岁、意识障碍50.00%、气管插管及气管切开23.33%、存在伴随疾病93.33%、卧床时间(12.34±2.27)d、抗生素预防应用时间(9.23±4.33)d、吸烟史36.67%高于无卒中相关性肺炎组的(67.03±10.34)岁、6.67%、5.33%、52.00%、(6.25±3.30)d、(4.12±2.25)d、9.33%(t/χ~2=3.25、6.37、4.39、14.22、4.34、7.26、8.28,P<0.05)。结论卒中相关性肺炎为急性脑血管疾病常见并发症,其发生与很多因素都密切相关;应实施相应措施降低其发生率。
Objective To explore the factors and interventions for stroke-related pneumonia that cause acute cerebrovascular disease. Methods The clinical data of 180 patients with cerebrovascular disease from January 2015 to December 2017 were collected （including 30 stroke-associated pneumonia patients without stroke-associated pneumonia）. The related influencing factors of stroke-associated pneumonia were analyzed. Results The age of stroke-associated pneumonia group was （72.25±8.23） years, disturbance of consciousness was 50.00%, tracheal intubation and tracheotomy was 23.33%, concomitant disease was 93.33%, bed rest time was （12.34±2.27） days, and antibiotic prophylaxis was used （9.23 ±4.33） days and smoking history were higher in 36.67% than in patients without stroke-related pneumonia （67.03±10.34）years, 6.67%, 5.33%, 52.00%, （6.25±3.30） days, （4.12±2.25） days, 9.33% （t/χ2=3.25, 6.37, 4.39, 14.22, 4.34, 7.26, 8.28, P〈0.05）. Conclusion Stroke-associated pneumonia is a common complication of acute cerebrovascular disease, and its occurrence is closely related to many factors; corresponding measures should be implemented to reduce its incidence.
作者
赵亮
ZHAO Liang(Department of Respiratory Medicine,Affiliated Hospital of Nantong University,Nantong,Jiangsu Province,226001 China)
出处
《系统医学》
2018年第15期42-43,46,共3页
Systems Medicine
关键词
急性脑血管疾病
卒中相关性肺炎
因素
干预措施
Acute cerebrovascular disease
Stroke-associated pneumonia
Factors
Interventions
