摘要
目的对老年脑卒中合并肺部感染患者进行临床分析,了解相关危险因素,探讨防治策略。方法回顾性分析60例老年脑卒中并发肺部感染患者的资料,对患者基本情况、合并基础性疾病、临床治疗情况等进行比较分析,总结老年脑卒中合并肺部感染的危险因素。结果患者年龄>71岁、病程>3周、临床存在意识障碍、出血性脑卒中、有糖尿病、慢性呼吸系统疾病史、高脂血症、吸烟史、行气管切开和气管插管、应用呼吸机等均为老年脑卒中并发肺部感染的危险因素,各因素内部数据比较均具有统计学意义(P<0.05);革兰氏阴性菌是老年脑卒中合并肺部感染的主要病原菌,感染率明显高于革兰氏阳性菌(P<0.05)。结论老年脑卒中合并肺部感染的危险因素较多,临床应综合患者基本情况、合并基础性疾病、临床治疗等情况有效防治,以减少肺部感染的发生。
Objective To analyze the correlative risk factors, prevention and control strategy for the senile stroke patients with pulmonary infection. Methods A retrospective analysis of 60 cases of patients in elderly patients of cerebral stroke complicated with pulmonary infection was made, the basic situation, patients with underlying diseases and clinical treatment were comparatively analyzed. The risk factors of stroke complicated with pulmonary infection in elderly cerebral were summa- rized. Results The patients over 71 years of age, duration more than 3 weeks, clinical existence consciousness obstacle, hem- orrhagic stroke, diabetes, history of chronic respiratory system disease, hyperlipidemia, smoking history, tracheotomy and tra- cheal intubation, mechanical ventilation were risk factors in elderly cerebral stroke complicated with pulmonary infection, there was a statistically significant difference in each factor （P〈0.05） ; gram negative bacteria was the main pathogenic bacteria of pulmonary infection in elderly patients with cerebral stroke, infection rate was significantly higher than that of gram positive bacteria （P〈0.05）. Conclusion There are more risk factors of cerebral stroke complicated with pulmonary infection in elderly; clinician should consider the basic conditions, clinical treatment of diseases, and effective prevention and control, in order to re- duce the incidence of pulmonary infection.
出处
《中国实用神经疾病杂志》
2013年第24期22-24,共3页
Chinese Journal of Practical Nervous Diseases
关键词
老年
脑卒中
肺部感染
The elderly
Stroke
Pulmonary infection
