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目的:研究引起卒中相关性肺炎(SAP)的相关危险因素,为早期诊断、治疗和预防SAP提供依据。方法:收集急性脑卒中患者353例,根据是否合并SAP将其分为SAP组(n=100)和非SAP组(n=253)。调查分析急性脑卒中住院患者的SAP发生率和危险因素。结果:1单因素分析显示,年龄≥65岁、既往卒中病史、糖尿病、肺部疾病、机械通气、深静脉置管、胃管留置、抑酸剂、预防性使用抗生素、脱水剂、呛咳、卒中类型、意识障碍、NIHSS评分≥13分、GCS评分<9分是SAP发生的危险因素(P<0.01);2多因素Logistic回归分析显示,年龄≥65岁、糖尿病、呛咳、深静脉置管、胃管留置、意识障碍、NIHSS评分≥13分是SAP发生的独立危险因素。结论:SAP的发病率较高,该病的发生有多种独立危险因素参与。
Objective: To study the risk factors of stroke-associated pneumonia (SAP) and provide the basis for the early diagnosis, treatment and prevention of SAP. Methods: A total of 353 acute stroke patients were collected and divided into SAP group (n = 100) and non-SAP group (n = 253) according to whether SAP was combined. Investigate the SAP incidence and risk factors of hospitalized patients with acute stroke. Results: 1 Univariate analysis showed that patients with age ≥65 years, previous stroke history, diabetes, pulmonary disease, mechanical ventilation, deep vein catheterization, gastric tube indwelling, antacids, prophylactic antibiotics, dehydrating agents, cough, Stroke type, disturbance of consciousness, NIHSS score≥13 points, GCS score <9 points were the risk factors of SAP (P <0.01); 2 Logistic regression analysis of multivariate logistic regression showed that age≥65 years, diabetes, cough, deep venous Tubes, gastric tube indwelling, disturbance of consciousness, NIHSS score 13 points is an independent risk factor for SAP. Conclusions: The incidence of SAP is high and there are a number of independent risk factors involved in the occurrence of this disease.