脑卒中患者发生支气管-肺医院感染的危险因素  

Risk factors of Cerebral Apoplectic Patients with Nosocomial Broncho-pulmonary Infection

作　　者：宋建良[1] 诸国嘉[1] 孙新芳[1] 丁靖[1] 钟洁静[1] 

机构地区：[1]绍兴市人民医院,浙江绍兴312000

出　　处：《中华医院感染学杂志》2003年第5期424-426,共3页Chinese Journal of Nosocomiology

摘　　要：目的　分析脑卒中患者发生支气管 -肺医院感染的危险因素及探讨系统的呼吸功能监测的意义。方法　对10 34例脑卒中患者发生支气管 -肺医院感染的危险因素进行回顾性分析 ,对其中进行系统的呼吸功能监测 6 3例患者进行分析 ,将其疗效与无系统呼吸监测的传统治疗组 (6 0例 )比较。结果　用 L ogistic回归分析发现年龄越大、意识障碍程度越重、智能减退、吞咽障碍、合并糖尿病、预防性应用抗生素及脑出血破脑室、系统发生支气管 -肺医院感染的危险性越大 (P <0 .0 1) ,而病死率系统的呼吸功能监测组明显低于传统治疗组 (P <0 .0 1)。结论脑卒中患者发生支气管 -肺医院感染是由于多种因素相互作用的结果 ,对其进行系统的呼吸功能监测有利于及早发现呼吸功能障碍 ,及时调整治疗措施 ,降低病死率。OBJECTIVE To investigate the risk factors and preventive measures of nosocomial broncho pulmonary infection in patients with apoplexy. METHODS The nosocomial broncho pulmonary infection occurred in 1 034 patients with apoplexy was studied retrospectively. Sixty three patients with apoplexy were systematically monitored. The monitoring results were compared with that of 60 patients who were not treated by systematic respiratory monitoring (control group). RESULTS The incidence rate of nosocomial infection was related to age, disturbance of consciousness and swallow, intelligence descended, diabetes and breaking into ventricles of cerebral hemorrhage (P<0.01). The mortality was significantly lower than that in monitoring group (P<0.01). CONCLUSIONS The nosocomial broncho pulmonary infection in patients with apoplexy was caused by many risk factors. Respiratory monitoring may be helpful in early diagnosis and treament of respiratory failure, and may reduce the mortality of patients with apoplexy.

关 键 词：脑卒中 医院感染 危险因素 呼吸功能监测 

分 类 号：R743.3[医药卫生—神经病学与精神病学]