急性脑卒中患者住院期间肺部感染的危险因素分析

摘要

目的:分析出血性脑卒中术后并发肺部感染的危险因素.方法:收集2013年8月~2016年8月我院重症医学科收治的240例急性脑卒中患者的病历资料,对其中40例住院期间发生肺部感染者进行单因素和多因素分析,找脑卒中患者住院期间出现肺部感染的危险因素.结果:年龄、吸烟史、糖尿病史、慢性阻塞性肺部史、机械通气、吞咽困难、鼻饲时间、GCS评分、NIHSS评分、卧床时间和住院时间均为与脑卒中患者住院期间并发肺部感染有关的危险因素,差异有统计学意义(P<0.05).结论:引发脑卒中患者住院期间发生肺部感染的因素较多,在临床治疗的过程中,需进行合理的管理和必要的干预,以减低其发生率.%Objective: To analyze the risk factors of postoperative pulmonary infection in patients with hemorrhagic stroke.Methods: From Aug 2013 to Aug 2016,240 cases of acute stroke patients from ICU of our hospital were selected,of which 40 cases of pulmonary infection occurred during hospitalization for univariate and multivariate analysis for stroke patients during hospitalization risk factors of pulmonary infection.Results: Age,smoking history,diabetes,chronic obstructive pulmonary disease history,dysphagia,nasal feeding,mechanical ventilation time,GCS score,NIHSS score,time in bed and hospitalization time were hospitalized stroke patients and related risk factors during pulmonary infection,the difference was statistically significant(P<0.05).Conclusion: There are many factors that lead to pulmonary infection in patients with stroke.In the course of clinical treatment, reasonable management and necessary intervention should be carried out in order to reduce the incidence of pulmonary infection.