›› 2008, Vol. 3 ›› Issue (04): 255-258.

• 论著 • 上一篇    下一篇

卒中并发下呼吸道感染的危险因素分析

徐伟,李辉萍,宋治   

  1. 中南大学湘雅三院神经内科
  • 收稿日期:2008-02-01 修回日期:1900-01-01 出版日期:2008-04-20 发布日期:2008-04-20
  • 通讯作者: 宋治

Risk Factors Analysis in Stroke Patients with Lower Respiratory Tract Infection

XU Wei, LI Hui-Ping, SONG Zhi   

  1. Department of Neurology, the Third Xiangya Hospital, Central South University
  • Received:2008-02-01 Revised:1900-01-01 Online:2008-04-20 Published:2008-04-20

摘要: 目的 探讨卒中患者并发下呼吸道感染(LRTI)的危险因素。方法 回顾性分析303例卒中患者并发LRTI的发生率;调查与其相关的因素,经单因素分析后选取P<0.05的因素进行非条件Logistic回归分析。结果 卒中并发LRTI的发生率为35.97%(109/303)。经非条件Logistic回归分析,与卒中并发LRTI相关的危险因素依次为意识障碍、卒中部位、侵袭性操作、糖尿病、卒中类型,相应的OR值为11.938、2.751、2.642、2.381、1.966,95%CI为5.382~26.479、1.461~5.179、1.127~6.191、1.172~4.837、1.012~3.819,P<0.05~0.01。结论 对卒中伴有意识障碍、糖尿病及侵袭性操作等下呼吸道感染的高危因素的卒中患者,应加强护理,采取积极预防措施,减少LRTI的发生。

关键词: 卒中; 呼吸道感染; 危险因素

Abstract: Objective To explore the risk factors and preventive measures for lower respiratory tract infection(LRTI) in stroke patients.Methods A retrospective analysis in 303 patients with stroke was carried out to investigate the incidence rate of LRTI. After one-way analyzing each related factor, the factors with P<0.05 were chosen to make non-conditional Logistic regression analysis.Results The incidence rate of LRTI in stroke patients was 35.97%. Related high risk factors in order were disturbance of consciousness, lesion location, invasive operation, diabetes mellitus, stroke type, and the OR values were 11.938, 2.751, 2.642, 2.381, 1.966 respectively.Conclusion More attention should be paid in nursing care and preventive measures to the stroke patients with high risk factors such as disturbance of consciousness, diabetes mellitus, so as to lower the occurrence of LRIT.

Key words: Stroke; Respiratory tract infection; Risk factors