摘要
目的分析脑梗死患者合并肺部感染的相关因素以及对预后的影响。方法选取2014年1月~2018年1月我院治疗的50例脑梗死患者,按照是否发生肺部感染的标准进行分组,其中25例合并肺部感染作为感染组,25例未发生感染作为非感染组,对比两组患者的各项指标。结果感染组中吸烟史、意识的障碍、癌症、侵入操作、大面积的脑梗死、年龄等指标,与非感染组患者相比,差异有统计学意义(P <0.05);感染组病死率明显要比非感染组高,住院时间要比非感染组长,NIHSS评分的降低幅度明显要比非感染组低,组间对比差异有统计学意义(P <0.05)。结论吸烟史、70岁以上、大面积的脑梗死、意识的障碍、癌症、侵入操作属于肺部感染发生的主要因素,因此,为了对肺部感染进行控制,需要针对性的进行干预处理。
Objective To analyze the related factors of patients with cerebral infarction complicated with pulmonary infection and its effect on prognosis. Methods 50 patients with cerebral infarction who were treated in our hospital from January 2014 to January 2018 were selected.According to the criteria of whether there was pulmonary infection,25 patients with pulmonary infection were set as the infection group while 25 patients without infection were set as the non-infection group.The indexes of the two groups were compared. Results The smoking history,consciousness disorder,cancer,invasion operation,large-scale cerebral infarction,age and other indexes in the infection group were significantly different from those in the non-infection group,P < 0.05.The mortality rate of the infection group was significantly higher than that of the non-infection group and the hospital stay was longer than that of the non-infection group.The reduction of the NIHSS score of the infection group was significantly lower than that of the non-infection d group.There were significant differences in comparison between groups,P < 0.05. Conclusion Smoking history,large-scale cerebral infarction,consciousness disorder,cancer and invasive operation are the main factors of pulmonary infection.Therefore,targeted intervention treatment is needed to control pulmonary infection.
作者
林金华
吴传喜
姚耀梅
LIN Jinhua;WU Chuanxi;YAO Yaomei(Third Department of Internal Medicine,the Eighth Hospital of Dongguan,Dongguan 523000,China;First Departmentof Internal Medicine,the Eighth Hospital of Dongguan,Dongguan 523000,China)
出处
《中国医药科学》
2019年第10期193-195,221,共4页
China Medicine And Pharmacy
关键词
脑梗死
肺部感染
意识障碍
癌症
Cerebral infarction
Pulmonary infection
Consciousness disorder
Cancer
