脑卒中后遗症老年人易患肺炎及其影响预后的因素  

Factors apt to suffer from pneumonia and influencing the prognosis in the eldely with stroke sequela

作　　者：秦家榕[1] 吴亚静[1] 徐卫刚[1] 沈瑜[1] 

机构地区：[1]上海市皮肤病性病医院老年科,上海200435

出　　处：《世界感染杂志》2007年第3期236-238,共3页World Journal of Infection

摘　　要：目的分析影响脑卒中后遗症老年人易患肺炎及其影响预后的因素。方法分析117例脑卒中后遗症老年人因肺炎而反复住院的病史资料，对存活与病死不同转归的病人进行比较。结果53例死亡，占45．3％。单因素分析显示性别、卧床不起时间、吞咽反射障碍、血清白蛋白水平是影响脑卒中后遗症老年病人易患肺炎及其影响预后的因素。结论脑卒中后遗症老年人患肺炎及其影响预后有多方面因素，对吞咽反射障碍的病人置入鼻饲管可以改善预后。Objective To analyze the factors apt to suffer from pneumonia and influencing the prognosis in the elderly with stroke sequela. Methods The illness history of 117 cases repeating hospitalization inpatients who suffered from pneumonia in the elders with strok sequela were analyzed and compared. All patients were assigned to two groups, 64 cases in the living group, 53 cases in death group. Results A total of 53 inpatients died, account for 45.3%. Univariative statiscal analysis demonstrated that factors significantly correlated with in-hospital death were gender, bedridden time, dysphagia, the level of albumin. Conclutions Prognosis of pneumonia in the elders with stroke sequela is related to these risk factors, prognosis can be improved in the patients with dysphagia placing nasogastric feeding tube.

关 键 词：老年人 肺炎 脑卒中 危险因子 

分 类 号：R563.1[医药卫生—呼吸系统]