中医体质与缺血性脑卒中继发肺部感染相关的Logistic回归分析  

Logistic Regression Analysis of the Relationship Between TCM Constitution and Pulmonary Infection Secondary to Ischemic Stroke

作　　者：张娜 冷建春[1] ZHANG Na;LENG Jianchun(Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610032,China)

机构地区：[1]成都中医药大学附属医院,四川成都610032

出　　处：《基层中医药》2022年第12期103-107,共5页Basic Traditional Chinese Medicine

摘　　要：目的分析中医体质与缺血性脑卒中继发肺部感染的相关性。方法将2020年9月—2022年5月在成都中医药大学附属医院全科医学科收治的215例缺血性脑卒中患者按是否肺部感染分为感染组(121例)和未感染组(94例)。收集患者的年龄、性别、病程、卧床时间、吸烟史、饮酒史等一般资料。采用单因素Logistic回归分析确定缺血性脑卒中继发肺部感染相关的因素,将单因素Logistic分析中P<0.05的变量纳入多因素Logistic回归分析,确定与缺血性脑卒中继发肺部感染相关的独立危险因素。结果Logistic回归分析显示,年龄,病程,卧床时间≥1周,吞咽障碍,咳嗽功能障碍,营养风险,糖尿病,气管插管或切开,住院时间≥2周,中医体质中的气虚质、阳虚质、痰湿质、湿热质在2组间差异有统计学意义(P<0.01,P<0.05)。多因素Logistic回归分析显示,痰湿质是缺血性脑卒中继发肺部感染的独立危险因素。结论中医体质与缺血性脑卒中继发肺部感染的发生存在相关性。Objective To analyze the correlation of traditional Chinese medicine(TCM)constitution with pulmonary infection secondary to ischemic stroke.Methods A total of 215 patients with ischemic stroke admitted to the General Medicine Department of the Hospital of Chengdu University of Traditional Chinese Medicine from September 2020 to May 2022 were divided into an infection group(n=121)and a non-infection group(n=94).The age,gender,course of disease,time in bed,smoking history,drinking history,and other general data of the two groups were collected.Univariate Logistic regression analysis was used to determine the factors related to pulmonary infection secondary to ischemic stroke.The variables with P<0.05 in univariate Logistic regression analysis were included in multivariate Logistic regression analysis to determine the independent risk factors related to pulmonary infection secondary to ischemic stroke.Results Logistic regression analysis showed that there were significant differences between the two groups in age,course of disease,time in bed≥one week,dysphagia,cough dysfunction,nutritional risk,diabetes,endotracheal intubation or incision,hospitalization time≥two weeks,and TCM constitution(qi deficiency,yang deficiency,phlegm-dampness,and dampness-heat)(P<0.01,P<0.05).Multivariate Logistic regression analysis showed that phlegm-dampness was an independent risk factor for pulmonary infection secondary to ischemic stroke.Conclusion There is a correlation between TCM constitution and pulmonary infection secondary to ischemic stroke.

关 键 词：中医体质 缺血性脑卒中 肺部感染 LOGISTIC回归 

分 类 号：R74[医药卫生—神经病学与精神病学]