卒中急性期肺部感染的原因分析

摘要

目的 探索脑卒中急性期并发肺部感染可能的原因.方法 分析297例脑卒中患者的临床资料,依照可能的原因分组分析.结果 年龄、饮水试验、意识状态、气管插管、慢性肺病、留置胃管组间差异显著,均P<0.01;多元Logistic回归分析显示:高龄、饮水呛咳、意识障碍、气管插管、慢性肺病与肺部感染的发生显著相关.结论 意识障碍、饮水呛咳、高龄、气管插管、慢性肺病是脑卒中急性期并发肺部感染的独立危险因素.%Objective To investigate the possible causes of pulmonary infection in patients with acute cerebral apoplexy. Methods The clinical data of 297 patients with acute cerebral apoplexy were retrospectively analyzed to summarize the possible risk factors of pulmonary infection. Results There were significant differences among the groups of age, water drinking test, conscious state, tracheal cannula, chronic pulmonary disease and detained gastric tube through X2 test ( all P <0. 01 ). There were significant correlations of pulmonary infection to eld, oropharyngeal dysphagia, consciousness disorders, tracheal cannula and chronic pulmonary disease through multi-variate Logistic regression analysis. Conclusion Tho independent risk factors of pulmonary infection in patients with acute cerebral apoplexy include eld, oropharyngeal dysphagia, consciousness disorders, tracheal cannula and chronic pulmonary disease.