急性脑梗死患者肺部感染特点及危险因素分析  

Clinical features of acute cerebral infarction patients with pulmonary infections and risk factors

作　　者：朱敏姿[1] 徐彬[1] 周未莹[1] 

机构地区：[1]浙江中医药大学附属第二医院神经内科,浙江杭州310005

出　　处：《中华医院感染学杂志》2014年第6期1410-1412,共3页Chinese Journal of Nosocomiology

基　　金：浙江省卫生厅基金资助项目(2013KYB194)

摘　　要：目的探讨急性脑梗死患者肺部感染特点及危险因素,制定干预措施,以降低脑梗死的发病率、病死率和致残率。方法选取医院2009年1月-2012年6月收治300例急性脑梗死患者,其中感染组81例,非感染组219例,采用回顾性调查分析感染特点和危险因素,数据采用SPSS13.0软件进行统计分析。结果感染组患者年龄(72.6±8.3)岁,高于非感染组(68.2±7.1)岁,差异有统计学意义(P<0.05);感染组合并慢性疾病68例占83.95%,非感染组97例占44.29%,差异有统计学意义(P<0.05);感染组中吸烟、慢性心功能不全、高血糖患者分别占34.56%、54.32%、27.16%,明显高于非感染组(P<0.05);感染组侵入性操作为48.15%、意识障碍为46.91%,明显高于非感染组(P<0.05);感染组患者卧床时间和住院天数为(20.17±2.52)d和(25.63±2.74)d,高于非感染组的(14.64±1.51)d和(21.30±2.92)d(P<0.05);logistic分析显示年龄、合并慢性病、侵入性操作、意识障碍、卧床时间和住院天数为肺部感染的危险因素(P<0.05)。结论急性脑梗死患者合并肺部感染是多因素综合所致,采取有效措施,降低脑卒中合并肺部感染的发生。OBJECTIVE To explore the clinical features of acute cerebral infarction patients with pulmonary infections, analyze the risk factors, and put forward the intervention measures so as to reduce the morbidity of cerebral infarction, mortality, and rate of disability. METHODS A total of 300 cases of acute cerebral infarction, who were treated in the hospital from Jan 2009 to Jun 2012, were enrolled in the study and divided into the infection group with 81 cases and the non-infection group with 219 cases , then the characteristics of infections and the risk factors were retrospectively analyzed, and the statistical analysis was performed with the use of SPSS 13.0 software. RESULTS The age of the infection group was （72.6±8.3） years old, significantly higher than （68.2 ±7. 1 ） years old of the non infection group （P〈0. 05） ; there were 68 （83.95%） cases of complication of chronic diseases in the infection group and 97 （44.29%） cases in the non-infection group, the differenle was significant （P〈0.05）. In the infection group, the patients with history of smoking accounted for 34.56%, the patients with chronic heart failure 54.32%, the patients with hyperglycemia 27.16%, significantly higher than those of the non- infection group （P〈 0. 05）. In the infection group, the patients undergoing invasive operation accounted for 48.15 %, the patients with disturbance of consciousness 46.91±, significantly higher than those of the non infec tion group （P〈0.05）. The bedridden time of the infection group was （20.17±2.52） days, higher than（14.64 ± 1.51）days of the non-infection group; the hospitalization duration of the infection group was （25.63± 2.74） days, higher than （21.30±2.92） days of the non-infection group （P〈0.05）. The logistic analysis indicated that the age, complication of chronic disease, invasive operation, disturbance of consciousness, bedridden time, and hospitalization duration were the risk factors for the pulmonary infections （P〈0.05）. CONC

关 键 词：急性脑梗死 肺部感染 危险因素 

分 类 号：R563[医药卫生—呼吸系统]