脑血管意外患者并发肺部感染的危险因素分析及护理对策  

Risk factor analysis and nursing of pulmonary infection in patients with stroke

作　　者：欧结艳[1] 

机构地区：[1]广东省中山市人民医院神经内科,528403

出　　处：《检验医学与临床》2011年第22期2703-2704,共2页Laboratory Medicine and Clinic

摘　　要：目的探讨急性脑血管意外患者并发肺部感染的危险因素特点及其相应的护理对策。方法观察急性脑血管意外216例并发肺部感染者57例患者的年龄、脑卒中类型、吞咽障碍、基础疾病存在等情况。结果年龄越大,肺部感染发生率越高;脑出血患者的肺部感染发生率明显高于脑梗死组,差异有统计学意义(P<0.01);伴意识障碍者并发肺部感染率远远高于无意识障碍者,差异有统计学意义(P<0.01);有吞咽障碍并发肺部感染者高于无吞咽障碍者,差异有统计学意义(P<0.01);卧床时间越长肺部感染率越高。结论急性脑血管意外患者肺部感染是多种因素相互作用的结果,采取积极有效的护理措施,可改善患者预后。Objective To investigate the risk factors and characteristics of pulmonary infection in patients with acute stroke.Methods A total of 57 cases with pulmonary infection were selected from 216 acute stroke patients.And their age distributions,type of stoke,dysphagia status,and primary diseases were analyzed.Results The older the patients were,the higher rate of the incidence of pulmonary infection were observed among stroke patients（P0.01）.Pulmonary infection was more prevalence among patients with cerebral hemorrhage than those with cerebral infarction（P0.01）.It was also more prevalence among those with consciousness disturbance than those with clear mind（P0.01）,and more prevalence among those with dysphagia than those without.The longer the patient was bound to bed,the higher the incidence of pulmonary infection would be.Conclusion Pulmonary infections in patients with acute stroke are resulted from various factors.Taking positive and effective care measures can improve the prognosis.

关 键 词：脑血管意外 缺血性脑卒中 肺部感染 

分 类 号：R743.3[医药卫生—神经病学与精神病学]