重症卒中相关性肺炎预后危险因素分析  

Analysis of risk factors for the prognosis of ICU patients with stroke-associated pneumonia

作　　者：吴玉娟[1] 朱明[1] 杨贺英[1] 李秋宇[1] 

机构地区：[1]云南省昆明市延安医院中心ICU,650051

出　　处：《实用医学杂志》2012年第22期3729-3731,共3页The Journal of Practical Medicine

摘　　要：目的:探讨影响卒中相关性肺炎(SAP)患者预后的相关危险因素。方法:回顾性分析本院2010年1月至2012年1月78例SAP患者的临床资料。结果:SAP患者预后不良组和预后良好组比较年龄、有无糖尿病史、格拉斯哥昏迷评分(GCS)、是否气管切开及呼吸机治疗时间存在统计学差异(P<0.05)。进行单因素分析和多因素Logistic回归分析提示,SAP预后不良与GCS评分<8分、年龄≥65岁及气管切开有关。结论:GCS评分<8分、年龄≥65岁是SAP患者预后不良的危险因素,气管切开对意识障碍伴呼吸功能不全的SAP患者有益。Objective To study the risk factors for the prognosis of patients with stroke-associated pneumonia （SAP）. Methods Clinical data of 78 critically ill patients with SAP were studied retrospectively. Results Glasgow coma scales less than 8 （OR = 7.899）, age above 65 years （OR = 0.222）, and tracheotomy （OR = 0.206） were associated with the prognosis of SAP patients. Conclusion Glasgow coma scales less than 8, age above 65 years were the risk factors for SAP, and traeheotomy would help to improve the prognosis of patients with coma and respiratory failure.

关 键 词：卒中相关性肺炎 预后 危险因素 

分 类 号：R563.1[医药卫生—呼吸系统] R743.3[医药卫生—内科学]