本文關(guān)鍵詞： 卒中 肺炎 危險(xiǎn)因素　出處：《中華疾病控制雜志》2014年09期 　論文類型：期刊論文

【摘要】：目的探討急性腦卒中患者肺炎發(fā)生的危險(xiǎn)因素,評(píng)價(jià)A2DS2評(píng)分對(duì)卒中后肺炎預(yù)測(cè)的準(zhǔn)確程度。方法收集418例急性腦卒中患者資料分別應(yīng)用單因素及多因素Logistic回歸分析卒中后肺炎發(fā)生的危險(xiǎn)因素。應(yīng)用受試者工作特征(receiver operating characteristic,ROC)曲線評(píng)價(jià)A2DS2評(píng)分對(duì)卒中后肺炎診斷的準(zhǔn)確性。結(jié)果卒中后肺炎發(fā)生率為23.92%。其中高齡、男性、吸煙史、吞咽困難、肺部基礎(chǔ)疾病史、應(yīng)用質(zhì)子泵抑制劑或H2受體阻斷劑、NIHSS評(píng)分中5～15分及≥16分以上、房顫、留置胃管是卒中后肺炎發(fā)生的獨(dú)立危險(xiǎn)因素(均有P0.05)。ROC曲線結(jié)果分析,曲線下面積為0.888,在評(píng)分為5分時(shí)其正確指數(shù)最高。結(jié)論高齡、男性、吸煙史、吞咽困難、NIHSS評(píng)分中≥5及以上、留置胃管等是卒中后肺炎發(fā)生的獨(dú)立危險(xiǎn)因素。A2DS2評(píng)分可很好用于卒中后肺炎發(fā)生的預(yù)測(cè),對(duì)于指導(dǎo)卒中后肺炎防治有重要意義。
[Abstract]:Objective to investigate the risk factors of pneumonia in patients with acute stroke. Objective to evaluate the accuracy of A2DS2 score in predicting poststroke pneumonia. Methods data of 418 patients with acute stroke were analyzed by univariate and multivariate Logistic regression analysis. The accuracy of A _ 2DS _ 2 score in the diagnosis of post-stroke pneumonia was evaluated by receiver operating characteristic roc curve. Results the incidence of post-stroke pneumonia was 23.92. Male, smoking history, dysphagia, history of pulmonary underlying diseases, Atrial fibrillation, Atrial fibrillation with proton pump inhibitor or H 2 receptor blocker or NIHSS score of 5 ~ 15 and 鈮，

本文編號(hào)：1502196