摘要
目的探讨脑血管疾病患者合并肺部感染的相关危险因素,为其诊治中针对性的预防与治疗提供依据。方法回顾性分析176例脑血管疾病患者临床资料,分析合并肺部感染的相关危险因素。结果发生肺部感染36例,发生率20.46%;肺部感染发生率:<70岁者为11.98%,≥70岁者为34.38%,男性为23.91%,女性为16.67%,有意识障碍者为51.72%,无意识障碍者为14.29%,出血性疾病者为31.96%,缺血性疾病者为6.33%,有侵入性操作者为37.50%,无侵入性操作者为10.71%,合并糖尿病者为60.00%,未合并糖尿病者为10.64%,合并慢性支气管炎者为76.92%,未合并慢性支气管炎者为10.67%,合并颅内血压者为55.56%,未合并颅内血压者为16.46%,卧床时间<10d者为6.67%,≥10d者为25.19%,其中不同年龄、意识障碍、脑血管疾病类型、侵入性操作、糖尿病、慢性支气管炎、颅内高压、卧床时间等因素下肺部感染发生率间比较,差异均有统计学意义(P<0.05);logistic多因素分析,其中年龄、意识障碍、脑血管疾病类型、侵入性操作、糖尿病、慢性支气管炎、卧床时间是肺部感染发生的独立危险因素(P<0.01)。结论脑血管疾病患者存在高龄、意识障碍、脑出血、有侵入性操作、长期卧床及合并有糖尿病、慢性支气管炎等因素,导致肺部感染发生率较高,应针对危险因素进行有效地预防控制。
OBJECTIVE To explore the related risk factors for the pulmonary infections in the patients with cerebral vascular diseases so as to perform the targeted prevention.METHODS The medical records of 176 cases with cerebral vascular diseases were retrospectively analyzed,the related risk factors for the combined pulmonary infections were analyzed as well.RESULTS There were 36 cases with pulmonary infections,and the incidence rate was 20.46%.The incidence rates of the pulmonary infections were as follows：the people whose age was less than 70 years 11.98%,the people whose age was more than 70 years 4.38%,the male 23.91%,the female 16.67%,the people with disorder of consciousness 51.72%,the people without consciousness disorder 14.29%,the hemorrhagic patients 31.96%,the ischemic patients 6.33%,the people with invasive operation 37.50%,the people without the invasive operation 10.71%,the people complicated with diabetes mellitus 60.00%,the people without complicated diabetes mellitus 10.64%,the people combined with chronic bronchitis 76.92%,the people without chronic bronchitis 10.67%,the people with intracranial hypertension 55.56%,the people without intracranial hypertension 16.46%,the people with the bedridden duration less than 10 days 6.67%,and the people with the bedridden duration more than 10 days 25.19%.The difference in the incidence of pulmonary infections between the patients with different age,consciousness disorders,cerebrovascular disease types,invasive operations,diabetes,chronic bronchitis,intracranial hypertension,and bedridden duration was statistically significant（P0.05）.Multivariate logistic analysis revealed that the age,impaired consciousness,cerebrovascular disease types,invasive operation,diabetes,chronic bronchitis,and bedridden time were the independent risk factors（P0.01）.CONCLUSION The incidence rate of the pulmonary infections is relatively high in the patients with the advanced age,consciousness disorders,cerebral hemorrhage,invasive operation,prolonged bed rest,combination with diabetes,or chronic bronchitis,thus it is necessary to take the effective prevention measures in response to the risk factors.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第5期1030-1032,共3页
Chinese Journal of Nosocomiology
关键词
脑出血
脑梗死
肺部感染
危险因素
Cerebral hemorrhage
Cerebral infarction
Pulmonary infection
Risk factors
