急性脑卒中后肺炎对脑卒中近期预后影响探析

摘要

目的探讨急性脑卒中后肺炎对脑卒中近期预后所产生的影响.方法 选取2009年6月至2011年3月在我院住院治疗的80例急性脑卒中患者,将其分为对照组和试验组进行相关数据的分析总结.对照组为肺炎组,试验组为非肺炎组,比较两组患者在入院接受治疗后21 d内的神经功能缺损程度、残障程度以及日常生活能力,并对两组患者并发症的发生情况、病死率、住院时间以及住院的费用进行比较分析.结果入院21 d后,肺炎组患者的神经功能缺损改善程度低于非肺炎组,但差异无统计学意义;两组患者的残障情况以及日常生活能力方面,肺炎组患者的恢复情况明显低于非肺炎组,两组数据的比较具有统计学意义(P<0.05);肺炎组患者的并发症发生率、病死率均明显高于非肺炎组,住院时间明显长于非肺炎组患者,同样住院费用也明显高于非肺炎组患者,两组数据比较具有统计学意义(P<0.05).结论 急性脑卒中后肺炎能导致卒中病死率的提高,是导致近期临床预后不良、患者长时间住院治疗以及医疗费用增加的重要原因.%Objective To analyze the influence of pneumonia on short-term prognosis after acute stroke. Methods 80 patients with acute stroke who were in the hospital from June 2009 to March 2011 were selected to cany out analysis and summary of related data. They were divided into control group and test group. Control group consist of the patients with pneumonia and test group consist of the patients without pneumonia. The clinical data of two groups within 21 days after admission to hospital, which includes the degree of neurologic impairment , the degree of deformity and activity of daily living. Incidence of complication, fatality, length of stay and cost of hospitalization were analyzed and compared. Results After 21 days of admission, improvement of degree of neurologic impairment of patients with pneumonia was obviously lower than the patients without pneumonia, though the comparison has no statistical significance; in the aspect of degree of deformity and activity of daily living, patients with pneumonia were obvious lower than the patients without pneumonia, difference with statistical significance( P < 0. 05 ) ; Incidence of complication and fatality in patients with pneumonia was obvious higher than the patients without pneumonia. Length of stay of patients with pneumonia was obvious longer than the patients without pneumonia, along with the higher hospitalization cost, difference with statistical significance( P <0. 05 ). Conclusion Pneumonia after acute stroke can cause the increase of the fatality, which is an important cause of unfavorable prognosis in the near future, long term hospitalization and increased medical fees.