神经科重症监护病房卒中相关性肺炎的危险因素分析  

Analysis of risk factors of stroke-associated pneumonia in neurological intensive care unit

作　　者：韩杰[1] 

机构地区：[1]大连医科大学附属第一医院神经内科,116011

出　　处：《临床神经病学杂志》2011年第2期145-147,共3页Journal of Clinical Neurology

摘　　要：目的探讨神经科重症监护病房（NICU）卒中相关性肺炎（SAP）的危险因素。方法对595例入住NICU的脑卒中患者的临床资料进行回顾性分析。结果本组患者中310例（52.1%）患者发生SAP,其中225例（72.6%）发生于脑卒中72 h内。SAP组与非SAP组患者年龄、吸烟史、心脏病史、糖尿病史、脑卒中部位、脑卒中性质、意识状态评分、鼻饲治疗史和脱水剂、胃黏膜保护剂及预防性抗生素使用史等比较,差异均有统计学意义（P〈0.05~0.01）。Logistic回归分析显示,高龄、有糖尿病、卒中后意识状态评分差、鼻饲治疗、使用胃黏膜保护剂、预防性使用抗生素是SAP的危险因素。结论 NICU脑卒中患者发生SAP的危险因素是高龄、糖尿病、意识水平低、鼻饲治疗、使用胃黏膜保护剂及预防性使用抗生素。Objective To explore the risk factors of stroke-associated pneumonia（SAP） in neurological intensive care unit（NICU）.Methods The clinical data of 595 patients with stroke in NICU were analyzed retrospectively.Results In this group,310 patients（52.1%） were suffered SAP.And 225 of them（72.6%） onset within 72 h after ischemic stroke.The differences of age,smoking history,heart disease,diabetes mellitus,location of ischemic stroke,the properties of ischemic stroke,conscious state score,tube feeding,and the use of dehydrating agent,gastric mucosal protective drugs and antibiltic prophylaxis between SAP group and non-SAP group were significant（P0.05-0.01）.Logistic analysis showed that old,diabetes mellitus,low state of conscious after ischemic stroke,tube feeding,the use of gastric mucosal protective drugs and antibiltic prophylaxis were the risk factors of SAP.Conclusion The risk factors of SAP in NICU are old,diabetes,low state of conscious,tube feeding,and the use of gastric mucosal protective drugs and antibiltic prophylaxis.

关 键 词：卒中相关性肺炎 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]