脑卒中后老年病人继发肺炎预后的相关因素分析  

Analysis on risk factors for poststroke pneumonia in the elderly

作　　者：秦家榕[1] 吴亚静[1] 冯贤强[1] 董立闻[1] 周道海[1] 

机构地区：[1]上海市皮肤病性病医院,上海200435

出　　处：《上海预防医学》2002年第3期112-114,共3页Shanghai Journal of Preventive Medicine

摘　　要：[目的 ]　分析影响脑卒中后的老年病人患肺炎预后的因素。　 [方法 ]　分析 83例因肺炎而连续住院的脑卒中后的老年病人的住院资料。　 [结果 ]　本组共有 49例死亡 ,病死率 5 9%。单因素分析显示年龄、卧床不起时间、血管性痴呆、吞咽反射障碍、血清白蛋白计数是影响脑卒中后老年病人患肺炎预后的因素 ;Logistic回归试验显示卧床不起时间较长 (OR 1.9)和血清白蛋白计数降低 (OR 1.2 2 )是影响脑卒中后老年病人患肺炎预后的独立危险因素。　 [结论 ]　脑卒中后老年病人患肺炎预后与上述危险因素有关 ,而上述危险因素又反映了脑卒中后老年病人生活质量的低下 。To analyse the risk factors for poststroke pneumonia in the elderly. Retrospective study of 83 consecutive inpatients who suffered from poststroke pneumonia. All related factors were analyzed. A total of 49 inpatients died and the mortality was 59%. Univariate statistical analysis demonstrated that factors significantly correlated with death in-hospital were age, duration of bedridden, dysphagia, vascular dementia and serum albumin level. Multivariative statistical analysis demonstrated that longer bedridden time (OR 1.9) and lower serum albumin (OR 1.2) were independent risk factors of in-hospital mortality. [Conclusion] Prognosis of pneumonia in the poststroke elderly is poor, mortality is high. These risk factors reveal that quality of life is poor in the poststroke elderly. To prevent poststroke pneumonia, we must improve their quality of life.

关 键 词：老年人 肺炎 脑卒中 危险因子 预后 社区获得性肺炎 

分 类 号：R743[医药卫生—神经病学与精神病学]