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目的分析脑卒中患者医院获得性肺炎(HAP)常见的危险因素。方法对512例住院脑卒中患者资料进行回顾性分析,脑卒中患者发生脑卒中的类型、有无意识障碍、吞咽功能以及常见基础疾病如糖尿病、基础肺疾病HAP的发生率进行比较,并进行统计学分析。结果脑卒中患者HAP发生率33.0%,脑出血组发生率明显高于脑梗死组,有意识障碍、吞咽功能障碍、糖尿病和基础肺疾病的患者发生率明显高于无上述症状及基础病的患者,差异具有统计学意义。结论脑卒中的类型、有无意识障碍和吞咽功能障碍及是否合并糖尿病、基础肺疾病是脑卒中患者发生HAP的危险因素。
Objective To analyze the common risk factors of hospital acquired pneumonia (HAP) in stroke patients. Methods The data of 512 hospitalized stroke patients were retrospectively analyzed. The types of stroke patients with stroke, whether there was disturbance of consciousness, swallowing function and the incidence of common underlying diseases such as diabetes and underlying lung disease were compared and statistically analyzed analysis. Results The incidence of HAP in stroke patients was 33.0%. The incidence of cerebral hemorrhage was significantly higher in patients with cerebral infarction than those in patients with cerebral infarction. The incidence of conscious disturbance, swallowing dysfunction, diabetes and basic lung disease were significantly higher than those without these symptoms and underlying diseases. The difference was statistically significant. Conclusions The types of stroke, with or without disturbance of consciousness and swallowing dysfunction and whether with diabetes mellitus, and basic lung diseases are the risk factors of HAP in stroke patients.