摘要
目的探讨脑卒中患者发生吸入性肺炎（AP）的相关危险因素及预防措施。方法回顾性分析100例脑卒中患者的临床资料,根据AP发生情况进行分组,分析相关影响因素。结果本组100例患者,发生AP共22例（占22.0%）,分析显示,与年龄、意识状态、合并疾病、吞咽功能、体位不当、鼻饲、白蛋白水平等存在较大关联（P〈0.05）;其中GCS评分〉5分、合并糖尿病等基础疾病、吞咽功能障碍为Ⅳ～Ⅴ级,是该类患者发生AP的独立危险因素。结论脑卒中患者发生AP受到多种因素影响,采取针对性预防措施,有助于提高临床疗效及患者生存质量。
Objective To investigate the risk factors and preventive measures of aspiration pneumonia（AP） in patients with stroke. Methods The clinical data of 100 patients with stroke were analyzed retrospectively, and the related influencing factors were analyzed according to the occurrence of AP. Results This group of 100 patients, a total of 22 cases of AP（22%）, and the analysis showed that the age, state of consciousness, complicated diseases, swallowing function, improper position, nasal feeding, albumin level are of greater relevance（P〈0.05）, the GCS score, 5 points, diabetes and other basic diseases, dysphagia for IV to V level, was the independent risk factors for AP patients. Conclusion AP is affected by many factors in patients with cerebral apoplexy, and it is helpful to improve the clinical efficacy and quality of life of patients.
出处
《中国继续医学教育》
2016年第27期58-59,共2页
China Continuing Medical Education
关键词
脑卒中
吸入性肺炎
危险因素
预防
Stroke
Aspiration pneumonia
Risk factors
Prevention
