老年急性脑卒中患者肺部感染危险因素分析与预防  

Risk factors for pulmonary infections in elderly patients with acute stroke and prevention measures

作　　者：顾群[1] 沈鸣华[1] 钱铭净[1] 孙如[1] 

机构地区：[1]湖州市第一人民医院神经内科,浙江湖州313000

出　　处：《中华医院感染学杂志》2015年第10期2265-2266,2275,共3页Chinese Journal of Nosocomiology

基　　金：湖州市科技局基金资助项目(2014GY24)

摘　　要：目的探讨老年急性脑卒中患者肺部感染的相关危险因素,总结预防策略,以降低感染率。方法选取2013年3月-2014年8月收治的70例脑卒中肺部感染患者为感染组,选择同期未发生肺部感染脑卒中患者60例为对照组,回顾性调查分析相关感染因素;采用SPSS13.0软件进行统计分析。结果单因素分析结果显示,年龄、脑卒中评分、卧床时间、住院天数、高血糖、慢性阻塞性肺疾病(COPD)病史、意识障碍、侵入性操作与肺部感染具有相关性(P<0.05),进一步行多因素logistic回归分析显示,年龄、高血糖、COPD病史、意识障碍、神经功能缺损、侵入性操作、卧床时间、住院天数是老年急性脑卒中患者肺部感染的危险因素。结论老年急性脑卒中合并肺部感染是多因素所导致,采取针对性的干预措施可有效降低肺部感染率,改善患者预后。OBJECTIVE To explore the related risk factors for pulmonary infections in the elderly patients with acute stoke and put forward the prevention strategies so as to reduce the infection rate .METHODS Totally 70 stroke patients with pulmonary infections who were treated in the hospital from Mar 2013 to Aug 2014 were as‐signed as the infection group ,meanwhile ,60 stoke patients without pulmonary infections were set as the control group ,then the related factors for the infections were retrospectively analyzed ,and the statistical analysis was performed with the use of SPSS13 .0 software .RESULTS The univariate analysis indicated that the pulmonary in‐fections were associated with the age ,stroke score ,bedridden time ,length of hospital stay ,high blood glucose , history of chronic obstructive pulmonary disease （COPD） ,disturbance of consciousness ,and invasive operation （P〈0 .05） .The multivariate logistic regression analysis further showed that the age ,high blood glucose ,history of COPD ,disturbance of consciousness ,neurologic impairment ,invasive operation ,bedridden time ,and length of hospital stay were the risk factors for the pulmonary infections in the elderly patients with acute stroke . CONCLUSION There are a variety of factors that lead to the pulmonary infections in the elderly patients with acute stroke .It is an effective way to take targeted interventions so as to reduce the incidence of pulmonary infections and improve the prognosis of the patients .

关 键 词：老年患者 急性脑卒中 肺部感染 危险因素 预防策略 

分 类 号：R563.1[医药卫生—呼吸系统]