摘要
目的:研究引起卒中相关性肺炎(SAP)的相关危险因素,为早期诊断、治疗和预防SAP提供依据。方法:收集急性脑卒中患者353例,根据是否合并SAP将其分为SAP组(n=100)和非SAP组(n=253)。调查分析急性脑卒中住院患者的SAP发生率和危险因素。结果:1单因素分析显示,年龄≥65岁、既往卒中病史、糖尿病、肺部疾病、机械通气、深静脉置管、胃管留置、抑酸剂、预防性使用抗生素、脱水剂、呛咳、卒中类型、意识障碍、NIHSS评分≥13分、GCS评分<9分是SAP发生的危险因素(P<0.01);2多因素Logistic回归分析显示,年龄≥65岁、糖尿病、呛咳、深静脉置管、胃管留置、意识障碍、NIHSS评分≥13分是SAP发生的独立危险因素。结论:SAP的发病率较高,该病的发生有多种独立危险因素参与。
Objective：To research the related risk factors of stroke-associate pneumonia（SAP）to provide the evidences for the early diagnosis,treatment and the precaution of SAP.Method：According to whether or not complicated with SAP,353 cases of acute stroke patients were divided into the SAP group（n=100）and the Non-SAP group（n=253）.The incidence of SAP on the acute stroke patients,the risk factors were investigated.Result：1By the univariate analysis,the risk factors of SAP were age≥65years,stroke history,diabetes,pulmonary disease,mechanical ventilation,indwelling deep vein catheter,indwelling gastric tube,antacid,the prophylactic use of antibiotics,dehydrating agent,swallowing disfunction,type of stroke,consciousness disorde,NIHSS≥13,GCS9（P〈0.01）.2By the logistics regresson analysis,the independent risk factors of SAP were age≥65years,diabetes,swallowing disfunction,indwelling deep vein catheter,indwelling gastric tube,consciousness disorder and NIHSS≥13.Conclusion：SAP has higher incidence in acute stroke patients.Various independent risk factors lead to SAP.
出处
《临床急诊杂志》
CAS
2015年第11期825-828,共4页
Journal of Clinical Emergency
