本文關(guān)鍵詞： 老年患者 腦卒中 肺部感染 病原學(xué) 危險(xiǎn)因素　出處：《中華醫(yī)院感染學(xué)雜志》2017年01期 　論文類型：期刊論文

【摘要】：目的探討分析老年腦卒中患者并發(fā)肺部感染的病原學(xué)及危險(xiǎn)因素,為有效降低老年腦卒中患者發(fā)生院內(nèi)肺部感染提供參考。方法選擇2006年7月-2013年7月醫(yī)院收治的急性腦卒中老年患者325例,采用單因素以及多因素logistic回歸分析,對可能影響患者并發(fā)肺部感染的各因素進(jìn)行分析。結(jié)果 325例患者中,并發(fā)肺部感染患者80例,肺部感染率為24.62%;80例合并肺部感染患者共檢出病原菌106株,其中革蘭陰性菌75株占70.75%、革蘭陽性菌24株占22.64%、真菌7株占6.61%;單因素分析結(jié)果顯示,年齡、卒中類型、合并基礎(chǔ)疾病、意識障礙、吞咽障礙、長期吸煙史、侵入性操作、臥床時(shí)間≥14d與老年腦卒中患者肺部感染的發(fā)生具有相關(guān)性(P0.05);logistic回歸分析顯示,合并基礎(chǔ)疾病、年齡大、侵入性操作、臥床時(shí)間≥14d及意識障礙為影響老年腦卒中患者肺部感染的獨(dú)立危險(xiǎn)因素。結(jié)論合并基礎(chǔ)性疾病、高齡、侵入性操作、長期臥床以及合并意識障礙是老年腦卒中患者并發(fā)肺部感染的獨(dú)立危險(xiǎn)因素,需要引起臨床工作者的重視。
[Abstract]:Objective to investigate the etiology and risk factors of pulmonary infection in elderly stroke patients. To effectively reduce nosocomial pulmonary infection in elderly stroke patients, 325 elderly patients with acute stroke were selected from July 2006 to July 2013. Univariate and multivariate logistic regression analysis was used. Results among 325 patients, 80 cases were complicated with pulmonary infection, and the pulmonary infection rate was 24.62%. 106 strains of pathogenic bacteria were detected in 80 patients with pulmonary infection. Among them, 75 Gram-negative bacteria accounted for 70.75, 24 Gram-positive bacteria accounted for 22.64, and 7 fungi accounted for 6.61.The results of univariate analysis showed that age, stroke type, associated basic diseases, disturbance of consciousness, dysphagia, long-term smoking history, invasive operation, There was a correlation between bed rest time 鈮，

本文編號：1528078