摘要
目的探讨脑梗死患者康复期肺部感染的相关危险因素,以期能为有效降低脑梗死康复期患者肺部感染的发生提供参考。方法回顾性分析178例脑梗死康复期患者临床资料,按照有无发生肺部感染分为两组,发生肺部感染21例为感染组,未发生肺部感染157例为对照组,分析引起肺部感染的危险因素。结果肺部感染发生率11.80%,年龄≥71岁、性别男、有吸烟史、合并糖尿病、脑梗死部位为多发性梗死、有意识障碍在感染组中分别占38.10%、66.67%、71.90%、66.67%、57.14%、57.14%,对照组分别占12.74%、43.95%、28.66%、22.93%、20.38%、26.75%,患者年龄、性别、吸烟史、糖尿病、脑梗死部位、意识障碍等因素是引起脑梗死康复期患者发生肺部感染的相关危险因素(P<0.05),非条件logistic回归分析结果显示,年龄大、合并糖尿病、大面积梗死及意识障碍是引起脑梗死康复期患者肺部感染发生的独立危险因素(P<0.01)。结论脑梗死康复期患者肺部感染发生率仍然较高,患者年龄大、合并糖尿病、大面积梗死及意识障碍是引起患者发生肺部感染的危险因素,应针对以上危险因素进行预防干预,控制及降低肺部感染的发生。
OBJECTIVE To explore the related risk factors for pulmonary infections in the patients with cerebral infarction during convalescence so as to effectively reduce the incidence of pulmonary infections in the cerebral infarction patients during convalescence. METHODS The clinical data of 178 cerebral infarction patients during convalescence were retrospectively analyzed, the subjects were divided into the infection group with 21 cases and the control group with 157 cases according to the status of pulmonary infections, then the risk factors for pulmonary infections were analyzed. RESULTS The incidence of the pulmonary infections was 11. 80 %. The patients with more than 71 years of age accounted for 38. 10 % in the infection group, 12. 74% in the control group; the male patients accounted for 66. 67% in the infection group, 43.95% in the control group; the patients with smoking history accounted for 71. 90% in the infection group, 28.66% in the control group; the patients with complication of diabetes accounted for 66.67% in the infection group, 22.93% in the control group; the patients with multiple infarctions in the infarction sites accounted for 57. 14 % in the infection group, 20. 38 % in the control group; the patients with disturbance of consciousness accounted for 57. 14% in the infection group, 26.75% in the control group. The age, gender, smoking history, diabetes, cerebral infarction site, and disturbance of consciousness were the related risk factors for the pulmonary infections in the cerebral infarction patients during convalescencet （P〈0. 05）. The result of non-conditional logistic regression analysis indicated that the old age, complication of diabetes, large area of infarction, and disturbance of consciousness were the independent risk factors for the pulmonary infections in the cerebral infarction patients during convalescence （P〈 0. 01）. CONCLUSION The incidence of pulmonary infections remains high in the cerebral infarction patients during convalescence; the old age, complication of diabetes, large area of infarction, and disturbance of consciousness are the risk factors for pulmonary infections; it is necessary to take prevention interventions according to the risk factor so as to reduce the incidence of pulmonary infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第5期1158-1160,共3页
Chinese Journal of Nosocomiology
基金
洛阳市科技局攻关计划基金项目(0901006A)
关键词
脑梗死
肺部感染
康复期
危险因素
Cerebral infarction
Pulmonary infection
Convalescence
Risk factor
