摘要
目的探讨卒中患者并发下呼吸道感染(LRTI)的危险因素。方法回顾性分析303例卒中患者并发LRTI的发生率;调查与其相关的因素,经单因素分析后选取P<0.05的因素进行非条件Logistic回归分析。结果卒中并发LRTI的发生率为35.97%(109/303)。经非条件Logistic回归分析,与卒中并发LRTI相关的危险因素依次为意识障碍、卒中部位、侵袭性操作、糖尿病、卒中类型,相应的OR值为11.938、2.751、2.642、2.381、1.966,95%CI为5.382～26.479、1.461～5.179、1.127～6.191、1.172～4.837、1.012～3.819,P<0.05～0.01。结论对卒中伴有意识障碍、糖尿病及侵袭性操作等下呼吸道感染的高危因素的卒中患者,应加强护理,采取积极预防措施,减少LRTI的发生。
Objective To explore the risk factors and preventive measures for lower respiratory tract infection(LRTI) in stroke patients. Methods A retrospective analysis in 303 patients with stroke was carried out to investigate the incidence rate of LRTI. After one-way analyzing each related factor,the factors with P<0.05 were chosen to make non-conditional Logistic regression analysis. Results The incidence rate of LRTI in stroke patients was 35.97%. Related high risk factors in order were disturbance of consciousness,lesion location,invasive operation,diabetes mellitus,stroke type,and the OR values were 11.938,2.751,2.642,2.381,1.966 respectively. Conclusion More attention should be paid in nursing care and preventive measures to the stroke patients with high risk factors such as disturbance of consciousness,diabetes mellitus,so as to lower the occurrence of LRIT.
出处
《中国卒中杂志》
2008年第4期255-258,共4页
Chinese Journal of Stroke
关键词
卒中
呼吸道感染
危险因素
Stroke
Respiratory tract infection
Risk factors
