摘要
目的:探究缺血性卒中患者并发肺炎的生存状况。方法:回顾性分析某院收治的374例缺血性卒中患者临床资料,发病6个月后通过电话随访方式评估预后,分析并发肺炎对缺血性卒中患者生存状况的影响。结果:多因素Longistic回归结果显示,高龄、合并糖尿病、合并心房颤动、NIHSS评分高、复发性脑梗死、脑梗死分型为非LACI型、存在卒中后肺炎为缺血性卒中患者预后不良的危险因素。374例患者失访51例,41例患者并发肺炎,282例患者未并发肺炎,随病期延长,并发肺炎与未并发肺炎患者的死亡率均升高;2组患者住院期间死亡率、3个月死亡率和6个月死亡率比较差异有统计学意义(P<0.05),缺血性卒中患者并发肺炎的生存状况低于未并发肺炎的患者。结论:缺血性卒中患者并发肺炎为其预后不良的危险因素,且并发肺炎会降低患者发病后生存率。
Objective:To explore the effect of concurrent pneumonia on the survival of patients with ischemic stroke.Methods:Clinical data of 374 cases of ischemic stroke patients in a hospital were retrospectively analyzed.After 6 months'follow-up by telephone on the prognosis evaluation,the impact of concurrent pneumonia on the survival status of the patients was explored.Results:Results of multivariate Logistic regression analysis showed that age,diabetes mellitus,atrial fibrillation,NIHSS score,recurrent cerebral infarction,cerebral infarction classified as non-LACI,presence of pneumonia after stroke were risk factors of poor prognosis in patients with ischemic stroke(P<0.05).Of the 374 patients,excluding 51 cases missing the follow-up,41 cases developed concurrent pneumonia and no concurrent pneumonia occurred in the remaining 282 cases.With the prolonging of the disease,mortality of the cases with or without concurrent pneumonia increased.There was statistical significance between the two groups in terms of mortality during hospitalization,mortality 3 months after the disease and 6 months after the disease(P<0.05).Survival status of the patients complicated with pneumonia after stroke was significantly lower than those with no concurrent pneumonia.Conclusion:Concurrent pneumonia after ischemic stroke is a risk factor for poor prognosis,which may reduce the survival rate of the patients.
作者
胡洋
王绍谦
王丽萍
HU Yang;WANG Shaoqian;WANG Liping(Neurology Department, The People's Hospital of Kaifeng City, Henan 475002, China)
出处
《淮海医药》
CAS
2020年第6期577-579,共3页
Journal of Huaihai Medicine
关键词
肺炎
缺血性卒中
生存状况
Pneumonia
Ischemic stroke
Survival status
