老年脑卒中患者医院内肺部感染的危险因素分析  

Risk factors for nosocomial pneumonia in elderly stroke patients

作　　者：饶芝国[1] 刘宗明[1] 林贵军[1] 郭辉[1] 

机构地区：[1]北京大学航天中心医院神经外科,100049

出　　处：《中华老年医学杂志》2008年第7期518-520,共3页Chinese Journal of Geriatrics

摘　　要：目的探讨引起老年卒中患者院内肺部感染的危险因素。方法对我院2002年1月至2007年6月收治的60岁及以上老年人259例卒中患者资料进行分析，根据临床症状和病原学检测确定院内肺部感染并对其危险因素予以分析。结果卒中患者院内肺部感染发生率为41．3％。引起医院内肺部感染的危险因素主要有年龄、住院时间、卒中类型、意识障碍、基础疾病、吸烟史、气管插管、气管切开和呼吸机的应用等。结论早期有效加强对院内肺部感染的危险因素的处理，积极恢复患者意识，可降低感染率，改善患者预后。Objective To investigate the risk factors for nosocomial pneumonia in elderly stroke patients（aged 60 years and over）. Methods The clinical data of 259 patients with nosocomial pneumonia from Jan 2002 to June 2007 were collected and the risk factors were retrospectively analyzed. Results The morbility rate of nosocomial pneumonia in elderly stroke patients was 41.3%, and the risk factors were aging, long hospitalization, unconsciousness, type of stroke, and underlying diseases, smoking, tracheal intubation, tracheotomy, application of respiratory machine （all P〉0.05）. Conclusions The morbility rate of nosocomial pneumonia in elderly stroke patients was high, and the risk factors are aging, long hospitalization, unconsciousness, type of stroke, and underlying diseases, smoking, tracheal intubation, tracheotomy, application of respiratory machine.

关 键 词：脑血管意外 肺炎 吸入性 危险因素 

分 类 号：R686[医药卫生—骨科学]