老年脑卒中患者肺部感染、深静脉血栓发生率及相关性研究  

Incidence of pulmonary infection and correlation with deep venous thrombosis in elderly stroke patients

作　　者：马利中[1] 董玲婉 朱靖[1] 刘莹莹[1] 周元林[3] 鲁敏晔[4] 

机构地区：[1]浙江省台州医院康复科,浙江临海317000 [2]临海市中医院药剂科,浙江临海317000 [3]浙江省台州医院神经内科 [4]浙江省人民医院神经内科,浙江杭州310024

出　　处：《中华全科医学》2016年第12期2034-2036,共3页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2010KYB007)

摘　　要：目的探讨老年脑卒中患者肺部感染、深静脉血栓发生率及相关性,为老年脑卒中患者并发症防治提供参考。方法采用回顾性研究方法,收集145例老年脑卒中患者临床资料,并随访6个月以上,统计肺部感染、深静脉血栓的发生率并分层比较,分析肺部感染与深静脉血栓的合并发生率及相关性,根据并发症情况分组,比较组间预后情况。结果 6个月随访期内,研究组145例脑卒中患者,36例(24.8%)并发肺部感染,27例(18.6%)并发深静脉血栓,其中13例(9.0%)并发2种并发症,高于同期对照组并发症发生率,差异有统计学意义(P<0.05);研究组不同性别肺部感染、深静脉血栓发生率差异无统计学意义(P>0.05),缺血性脑卒中肺部感染、深静脉血栓发生率高于出血性脑卒中,差异有统计学意义(P<0.05);研究组患者肺部感染与深静脉血栓差异有统计学意义(P<0.05,r=0.258);不同并发症组间总预后不良率差异有统计学意义(P<0.05)。结论老年脑卒中患者肺部感染、深静脉血栓发生率较高,且可能存在正相关性,在恶化患者预后上可能有协同作用,应早期采取预防干预措施,降低并发症、合并多种并发症风险,改善患者预后。Objective To study the incidence of pulmonary infection and correlation with deep venous thrombosis in elderly stroke patients, and provide basis for prevention of complication in elderly stroke patients. Methods By adopting the method of retrospective study, clinical data of elderly stroke patients were collected, and the patients were followed for months. Incidence and correlation of pulmonary infection and deep venous thrombosis were analyzed and compared among groups, and correlation of pulmonary infection and deep venous thrombosis was analyzed. Stoke patients were grouped by complication morbidity,and prognosis situation of groups were compared. Results In 6-month follow-up period, of 145 elderly stroke patients,36 （24.8%） complicated with pulmonary infection, and 27 （18.6%） complicated with deep ve- nous thrombosis, and 13 （9.0%） complicated with pulmonary infection and deep venous thrombosis. Incidence of complication of study group was higher than control group, and difference was statistically significant （P 〈 0.05 ）. There was no significant difference of complication incidence between genders, and complication incidence of Ischemic stroke was higher than hemorrhagic stroke. There was correlation between pulmonary infection and deep venous thrombosis （ P 〈 0.05, r = 0. 258）. There was significant difference of Poor prognosis rate of different complication groups （ P 〈 0.05 ）. Conclusion Incidence of pulmonary infection and deep venous thrombosis was high, and there was positive correlation synergy to deteriorate prognosis between pulmonary infection and deep venous thrombosis. Intervening measures should be taken to reduce risk of complication, and improve prognosis of elderly stroke patients.

关 键 词：脑卒中 肺部感染 深静脉血栓 相关性 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R563.1[医药卫生—临床医学]