摘要
目的探讨急性脑卒中并发肺部感染的危险因素及其特点。方法对57例急性脑卒中并发肺部感染患者与同期55例急性脑卒中无感染者进行回顾性调查,分析其医院感染的危险因素。结果感染组的NIHSS评分显著高于对照组,GCS评分显著低于对照组。感染组的吞咽障碍评分高于非感染组,差异有统计学意义。感染组的血糖值显著高于对照组,白蛋白数值则低于对照组,二组差异有统计学意义。脑卒中合并肺部感染组既往患心脏病者明显高于对照组。高血压、糖尿病及慢性支气管炎史2组间无统计学差异。感染组接受侵袭性操作者显著高于非感染对照组。结论患者并发肺部感染与其神经功能缺损程度重、意识障碍、吞咽困难、侵袭性操作、心脏疾病、高血糖和低白蛋白水平有关。
Objective To investigate the risk factors and characteristics of acute stroke complicated by lung infection. Methods Total 57 cases of acute stroke complicated with pulmonary infection and 55 cases of acute stroke without infection in the same period were retrospectively investigated, the risk factors of hospital infection were analyzed. Results The NIHSS scores in infection group were significantly higher than the control group. The GCS scores in infection group were significantly lower than the control group. Infection group＇s dysphasia score were higher than non-infected group. Blood glucose levels of the infected group were significantly higher than the control group. The albumin values in the two groups was statistically dif- ferent. Patients in infection group previously suffering from heart disease was significantly higher. Conclusion There is higher hospital infection rate among the acute stroke patients. The degree of neurological deficits, disturbance of consciousness, and difficulty in swallowing, invasive operation, heart disease, high blood sugar and low albumin level are principle factors.
出处
《中国实用神经疾病杂志》
2012年第14期21-23,共3页
Chinese Journal of Practical Nervous Diseases
基金
安徽医科大学校基金(2010xkj103)
