卒中相关性肺炎危险因素分析  

Analysis of risk factors for stroke-associated pneumonia

作　　者：韩杰[1] 王俊平[1] 李明[1] 

机构地区：[1]大连医科大学第一附属医院神经内科,116011

出　　处：《中华全科医师杂志》2010年第9期635-637,共3页Chinese Journal of General Practitioners

摘　　要：回顾性分析本院2005年1月至2007年1月595例脑卒中患者的临床资料,310例（52.1%）发生卒中相关性肺炎,其中早发性肺炎（卒中后72 h内发生的肺炎）225例（72.6%）,晚发性肺炎85例（27.4%）.早发性肺炎住院时间≥2周者113例（50.3%）,晚发性肺炎＜1周发病者60例（70.6%）.年龄＞65岁（OR=1.037）、糖尿病（OR=1.724）、Glasgow评分≤8分（OR=0.908）、鼻饲治疗（OR=6.640）、胃黏膜保护剂（OR=3.581）、预防性使用抗生素（OR=2.433）是卒中相关性肺炎的危险因素.Clinical data of 595 patients of stroke admitted to the First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning were analyzed retrospectively, 310 （52. 1% ） of them with strokeassociated pneumonia （SAP）. Early-onset pneumonia occurred in 225 patients （72.6%）, and late-onset pneumonia in 85 （27.4%）. Patients with length of hospital-stay equal to or more than two weeks accounted for （113 cases） 50. 3% of those with early-onset pneumonia, whereas patients with length of hospital-stay less than one week （60 cases） accounted for 70. 6% of those with late-onset pneumonia. Age above 65 years （ OR = 1. 037 ）, diabetes （ OR = 1. 724）, Glasgow coma scores equal to or less than eight （ OR = 0. 098 ）,nasal feeding （ OR = 6. 640 ）, administration of gastric mucosal protective drugs （ OR = 3. 581 ） and antibiotic prophylaxis （ OR = 2. 433） all were risk factors for SAP.

关 键 词：脑血管意外 肺炎 

分 类 号：R743.3[医药卫生—神经病学与精神病学]