摘要
目的探讨高血压脑出血并发肺部感染的相关影响因素及其应对措施。方法选取2018年1月至2019年12月我院收治的93例高血压脑出血患者,收集临床资料,分析高血压脑出血并发肺部感染的相关影响因素。结果93例患者中并发肺部感染34例(36.56%),两组性别、出血部位对比,差异无统计学意义(P>0.05);Logistic回归分析显示,年龄≥65岁、糖尿病、慢性阻塞性肺疾病、意识障碍、反复吸痰、住院时间≥15 d、GCS评分≤8分、吸烟史是高血压脑出血并发肺部感染的独立危险因素(P<0.05且OR≥1)。结论高血压脑出血并发肺部感染是由多种因素共同作用所致,临床需针对各危险因素加强防范措施,以降低肺部感染发生率。
Objective To explore the related influencing factors and countermeasures of hypertensive cerebral hemorrhage complicated with pulmonary infection.Methods Ninety-three patients with hypertensive cerebral hemorrhage admitted to our hospital from January 2018 to December 2019 were selected to collect clinical data and analyze the related influencing factors of hypertensive cerebral hemorrhage complicated with pulmonary infection.Results Among the 93 patients,34(36.56%)had pulmonary infection.There was no significant difference between the two groups in terms of gender and bleeding site(P>0.05);Logistic regression analysis showed that age≥65 years old,diabetes,chronic obstructive pulmonary disease,unconsciousness,repeated sputum suction,hospital stay≥15 d,GCS score≤8,smoking history are independent risk factors for hypertensive cerebral hemorrhage complicated by lung infection(P<0.05 and OR≥1).Conclusion Hypertensive intracerebral hemorrhage complicated with pulmonary infection is caused by a combination of various factors.The clinical need to strengthen prevention measures for each risk factor to reduce the incidence of pulmonary infection.
作者
王敬
罗丹
WANG Jing;LUO Dan(The First People's Hospital of Shangqiu City,Shangqiu476000 China;Zhengzhou Traditional Chinese Medicine Orthopedics Hospital,Zhengzhou450016 China)
出处
《内蒙古医学杂志》
2020年第7期776-778,共3页
Inner Mongolia Medical Journal
基金
河南省医学科技攻关计划项目(编号:201504011)
关键词
高血压
脑出血
肺部感染
影响因素
hypertensive cerebral hemorrhage
lung infection
influencing factors
