急性缺血性脑卒中相关性肺炎的危险因素分析

急性缺血性脑卒中相关性肺炎的危险因素分析
杨俊芳;朱沂
【期刊名称】《海南医学》
【年(卷),期】2014(000)024
【摘要】Objective To investigate the incidence of stroke associated pneumonia in patients with acute ischemic stroke and identify its risk factors. Methods A retrospective analysis was performed for 636 patients with acute ischemic stroke in three hospitals in Xinjiang from August 2013 to June 2014. The incidence of stroke associat-ed pneumonia was calculated, the risk factors were identified by the methods of univariate and multivariate analysis. Results ① The incidence of stroke associated pneumonia was 14.5% (92 cases) in patients with acute ischemic stroke in three hospitals in Xinjiang.②According to the results of univariate and multivariate analysis, gender, age, atrial fibrillation, dysphagia, consciousness disorders, hyperhomocysteinaemia, hypoproteinemia and NIHSS score showed statistically significant differrence in patients with acute ischemic stroke (P<0.05). Conclusion Male, ad-vanced age (≥60 years old), atrial fibrillation, dysphagia, consciousness disorders, hyperhomocysteinaemia, hypopro-teinemia and NIHSS score ≥15 were independent risk factors for stroke associated pneumonia in acute ischemic stroke patients in the three hospitals in Xinjiang.%目的：研究急性缺血性脑卒中相关性肺炎的发生率及其危险因素。

方法回顾性分析2013年8月至
2014年6月新疆三家综合性医院神经内科收治的636例急性缺血性脑卒中患者的临床资料，调查卒中相关性肺炎的发生率，采用单因素和多因素分析研究急性缺血性脑卒中相关性肺炎的危险因素。

结果①新疆三家医院636例急性缺血性脑卒中患者中卒中相关性肺炎的发生率为14.5%（92例）；②单因素分析显示：性别、年龄、合并房颤、吞咽障碍、意识障碍、高同型半胱氨酸血症和低蛋白血症及NIHSS评分差异具有统计学意义(P<0.05)。

多因素分析显示：性别、年龄、合并房颤、吞咽障碍、意识障碍、高同型半胱氨酸血症和低蛋白血症及NIHSS评分差异具有统计学意义(P<0.05)结论男性、高龄(≥60岁)、合并房颤、吞咽障碍、意识障碍、高同型半胱氨酸血症和低蛋白血症及高NIHSS评分(≥15分)是新疆三家医院急性缺血性脑卒中相关性肺炎的危险因素。

【总页数】4页(P3616-3618,3619)
【作者】杨俊芳;朱沂
【作者单位】新疆医科大学，新疆乌鲁木齐 830054;新疆维吾尔自治区人民医院神经内科，新疆乌鲁木齐 830001
【正文语种】中文
【中图分类】R743.3
【相关文献】
1.急性缺血性脑卒中并发卒中相关性肺炎的多因素分析 [J], 曾雯;郭永洪;伍国锋;安啟萍;李娟;黄云;;
2.老年急性缺血性脑卒中并发卒中相关性肺炎的危险因素分析 [J], 庄景义; 韦薇; 周莉莉; 詹克栋
3.老年急性缺血性脑卒中并发卒中相关性肺炎的危险因素分析 [J], 庄景义; 韦薇;
周莉莉; 詹克栋
4.急性缺血性脑卒中相关性肺炎的危险因素及临床特点分析 [J], 李杭娟; 许虹
5.急性缺血性脑卒中静脉溶栓患者并发卒中相关性肺炎的危险因素分析 [J], 孔玉明;李治璋;岳蕴华
因版权原因，仅展示原文概要，查看原文内容请购买。