脑卒中后吞咽障碍与医院获得性肺炎的关系  

Correlation Between Dysphagia and Hospital-acquired Pneumonia after Stroke

作　　者：王伟平[1] 李保华[1] 张梅[1] 蒋敏海[1] 

机构地区：[1]杭州市第一人民医院,浙江杭州310006

出　　处：《中华医院感染学杂志》2006年第11期1246-1247,共2页Chinese Journal of Nosocomiology

基　　金：杭州市医药科技重点项目(20062003)

摘　　要：目的观察脑卒中后吞咽障碍与医院获得性肺炎发生的关系及对预后的影响。方法对356例脑卒中住院患者进行床边误吸试验,由此分为吞咽障碍组(A组)与无吞咽障碍组(B组),观察两组医院获得性肺炎发生与死亡情况。结果A组医院获得性肺炎发生率达23.5%,B组医院获得性肺炎发生率4.6%,两组差异有统计学意义(2χ=25.8,P<0.01),A组死亡率10.4%,B组死亡率4.0%,差异有统计学意义(χ2=5.3,P<0.05)。结论脑卒中后吞咽障碍是医院获得性肺炎的重要危险因素,显著影响预后,应予以高度重视。OBJECTIVE To evaluate correlation between dysphagia and hospital-acquired pneumonia after stroke and its effect on prognosis. METHODS Totally 356 stroke inpatients were divided into dysphagia group （group A） and non-dysphagia group （group B） based on bedside swallowing evaluation. The incidence of hospital-acquired pneumonia and mortality between the two groups were compared. RESULTS The incidence of hospital-acquired pneumonia was 23.5% in group A and 4.6% in group B. The difference between the two groups was highly significant （X^2=25.8, P〈0.01）. There was also significant statistical difference in mortalities between groups A and B （10. 4% versus 4. 0%, X^2=5.3, P〈0. 05）. CONCLUSIONS Dysphagia after stroke is an important risk factor contributing to the occurrence of hospital-acquired pneumonia. Since it significantly affects the prognosis of the stroke patients, close attention should be paid to these patients.

关 键 词：脑卒中 吞咽障碍 医院获得性肺炎 

分 类 号：R563.1[医药卫生—呼吸系统]