本文選題：腦卒中 + 卒中相關性肺炎�。� 參考：《中國康復理論與實踐》2017年08期

【摘要】：目的探討急診病房中急性腦卒中患者卒中相關性肺炎(SAP)的發(fā)生率、危險因素及預后。方法回顧性分析2014年4月至2016年12月本院急診病房收治的306例急性腦卒中患者的臨床資料,將其分為SAP組(n=120)和非SAP組(n=186),采用Logistic回歸分析SAP的危險因素及預后。結果急診病房中SAP發(fā)生率為39.2%,其中34例(28.3%)死亡。兩組在年齡、格拉斯哥昏迷評分(GCS)、序貫器官衰竭估計評分(SOFA)和美國國立衛(wèi)生研究院卒中量表評分(NIHSS)、機械通氣、吞咽障礙、抑酸藥物使用、鼻飼方面有顯著性差異(P0.05)。Logistic回歸分析顯示,年齡65歲、高血壓病史、NIHSS評分、GCS9分、吞咽障礙和抑酸藥物使用是SAP發(fā)生的危險因素;SOFA評分、NIHSS評分15分和機械通氣是SAP組30 d死亡率的獨立危險因素。結論急診病房中腦卒中患者的SAP發(fā)生與多種因素密切相關,并影響其預后。
[Abstract]:Objective to investigate the incidence, risk factors and prognosis of stroke associated pneumonia (SAP) in acute stroke patients in emergency ward. Methods the clinical data of 306 acute stroke patients admitted in our hospital from April 2014 to December 2016 were analyzed retrospectively. The clinical data were divided into group SAP (n=120) and non SAP group (n=186), and Logistic regression analysis was used to analyze SA. Results the risk factors and prognosis of P. Results the incidence of SAP in the emergency ward was 39.2%, of which 34 cases (28.3%) died. The two groups were age, Glasgow coma score (GCS), sequential organ failure assessment score (SOFA) and National Institutes of Health Stroke Scale (NIHSS), mechanical ventilation, dysphagia, acid suppressor use, and nasal feeding. P0.05.Logistic regression analysis showed that age 65, hypertension history, NIHSS score, GCS9 score, dysphagia and acid suppressor use were risk factors for SAP; SOFA score, NIHSS score 15 and mechanical ventilation were independent risk factors of 30 d mortality in SAP group. Conclusion SAP in patients with cerebral apoplexy in emergency ward and a variety of causes It is closely related and affects its prognosis.

【作者單位】： 首都醫(yī)科大學康復醫(yī)學院;中國康復研究中心北京博愛醫(yī)院急診科;
【分類號】：R563.1;R743.3

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