老年脑卒中后遗症期患者肺炎危险因素的分析

摘要

Objective To study the risk factors for pneumonia in elderly patients with cerebral stroke sequela .Methods Clinical data about 330 elderly patients with cerebral stroke sequela (171 pneumonia patients and 159 pneumonia-free patients) were retrospectively analyzed .Results Advanced age(OR= 2 .586 ),history of smoking (OR= 2 .353 ),chronic heart failure (OR= 2 .062 ), dysbulia(OR=2.319),nasal feeding (OR = 4 .708 ) ,completely bedridden (OR= 2 .471) and hy-poalbuminemia(OR=2 .388) were the risk factors for pneumonia in patients with cerebral stroke sequela . Hyperglycemia(OR=0 .341) was a protective factor for it .Conclusion The incidence of pneumonia is high in patients with cerebral stoke sequela due to a variate of risk factors .%目的 探讨脑卒中后遗症期患者肺炎的危险因素.方法 回顾性分析330例脑卒中后遗症期患者的临床资料,进行相关因素分析,其中肺炎患者171例和无肺炎患者159例.结果 高龄(OR=2.586)、吸烟史(OR=2.353)、慢性心力衰竭(OR=2.062)、意识障碍(OR=2.319)、鼻饲(OR=4.708)、完全卧床(OR=2.471)及低白蛋白血症(OR=2.388)是脑卒中后遗症期肺炎的危险因素,高脂血症(OR=0.341)是其保护因素.结论 脑卒中后遗症期肺炎发病率高,危险因素多.