急性脑梗死患者并发肺部感染的危险因素分析

袁明皓; 张文玉; 邹宁; 李琦; 秦新月

doi:10.16016/j.1000-5404.201809110

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急性脑梗死患者并发肺部感染的危险因素分析

临床医学 | 更新时间：2026-01-09

- 急性脑梗死患者并发肺部感染的危险因素分析
- Risk factors for pulmonary infection in patients with acute cerebral infarction
- 第三军医大学学报 2019年41卷第2期页码：153-157
- 作者机构：
  
  400016 重庆，重庆医科大学附属第一医院神经内科
- 作者简介：
  
  [ 秦新月，E-mail:qinxinyue@yahoo.com QIN Xinyue, E-mail: qinxinyue@yahoo.com
- 基金信息：
- DOI：10.16016/j.1000-5404.201809110
  中图分类号： R181.23;R563.1;R743.33
- 收稿：2018-09-14，
  
  修回：2018-10-09，
  
  纸质出版：2019-01-30
- 稿件说明：
移动端阅览
袁明皓, 张文玉, 邹宁, 等. 急性脑梗死患者并发肺部感染的危险因素分析[J]. 第三军医大学学报, 2019,41(2):153-157.

Minghao YUAN, Wenyu ZHANG, Ning ZOU, et al. Risk factors for pulmonary infection in patients with acute cerebral infarction[J]. Journal of Third Military Medical University, 2019, 41(2): 153-157.
袁明皓, 张文玉, 邹宁, 等. 急性脑梗死患者并发肺部感染的危险因素分析[J]. 第三军医大学学报, 2019,41(2):153-157. DOI： 10.16016/j.1000-5404.201809110.

Minghao YUAN, Wenyu ZHANG, Ning ZOU, et al. Risk factors for pulmonary infection in patients with acute cerebral infarction[J]. Journal of Third Military Medical University, 2019, 41(2): 153-157. DOI： 10.16016/j.1000-5404.201809110.

摘要

目的

研究急性脑梗死患者并发肺部感染的危险因素。

方法

收集2017年4-12月重庆医科大学附属第一医院神经内科住院的急性脑梗死患者417例，对可能并发肺部感染的相关因素进行汇总，比较肺部感染组和非肺部感染组临床资料的差异，并进行多因素Logistic回归分析。

结果

肺部感染组(

=92)与非肺部感染组(

=325)比较，年龄、性别、住院天数、吸烟、既往肺部疾病史、冠心病、高血脂、吞咽困难、入院时意识障碍、完全卧床、侵入性操作、入院时美国国立卫生院神经功能缺损评分(National Institutes of Health stroke scale score，NIHSS)、入院时改良RANKIN量表评分(modified rankin scale score，MRS)差异均具有统计学意义(

0.05)。多因素Logistic回归分析示：入院时NIHSS评分

14分、年龄

65岁、侵入性操作、完全卧床是急性脑梗死患者并发肺部感染的危险因素(

=5.410、2.714、21.823、3.013，95%

：1.835~15.953、1.257~5.587、10.265~46.393、1.365~6.651，

均

0.05)。

结论

入院时NIHSS评分、年龄、侵入性操作、完全卧床可作为防治急性脑梗死后并发肺部感染的参考指标。

Abstract

Objective

To explore the risk factors of pulmonary infection in patients with acute cerebral infarction.

Methods

We retrospectively reviewed the clinical data of 417 patients admitted for acute cerebral infarction in our hospital between April and December

2017. We compared the data between the patients with and without pulmonary infection

and analyzed the risk factors for pulmonary infection following acute cerebral infarction using multiple logistic regression analysis.

Results

There were significant differences in age

gender

length of hospital stay

smoking

history of previous lung disease

coronary heart disease

hyperlipidemia

dysphagia

consciousness disturbance at admission

complete bed rest

invasive operation

National Institutes of Health Stroke Scale (NIHSS) score and Modified Rankin Scale (MRS) score at admission between the pulmonary infection group(

=92) and the non-pulmonary infection group(

=325) (

0.05). Multiple logistic regression analysis suggested that NIHSS score

14 at admission

age

65 years

invasive operation

and complete bed rest were risk factors for pulmonary infection in patients with acute cerebral infarction(

=5.410

2.714

21.823

3.013

95%

:1.835~15.953

1.257~5.587

10.265~46.393

1.365~6.651

all

0.05).

Conclusion

NIHSS score at admission

age

invasive operation and complete bed rest may be regarded as reference indexes in the prevention and treatment of pulmonary infection after acute cerebral infarction.

关键词

Keywords

references

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