[1] 王陇德. 《中国脑卒中防治报告2019》概要[J]. 中国
脑血管病杂志,2020,17(5):272-281.
[2] 王拥军,李子孝,谷鸿秋,等. 中国卒中报告2019(中
文版)(1)[J]. 中国卒中杂志,2020,15(10):1037-
1043.
[3] FENG M C,LIN Y C,CHANG Y H,et al. The
mortality and the risk of aspiration pneumonia
related with dysphagia in stroke patients[J]. J Stroke
Cerebrovasc Dis,2019,28(5):1381-1387.
[4] 王拥军,陈玉国,吕传柱,等. 卒中相关性肺炎诊治
中国专家共识(2019更新版)[J]. 中国卒中杂志,2019,
14(12):1251-1262.
[5] 郑岚,刘婷婷. 脑卒中行机械通气患者发生呼吸机相
关性肺炎的危险因素及病原学分析[J]. 实用医院临
床杂志,2021,18(1):159-161.
[6] SMITH C J,KISHORE A K,VAIL A,et
al. Diagnosis of stroke-associated pneumonia:
recommendations from the pneumonia in stroke
consensus group[J]. Stroke,2015,46(8):2335-
2340.
[7] MANDELL L A,NIEDERMAN M S. Aspiration
pneumonia. Reply[J/OL]. N Engl J Med,2019,380
(21):e40[2021-02-09]. https://doi.org/10.1056/
nejmc1903636.
[8] SPALDING M C,CRIPPS M W,MINSHALL C T.
Ventilator-asociated pneumonia:new definitions[J].
Crit Care Clin,2017,33(2):277-292.
[9] SUI R,ZHANG L. Risk factors of stroke-associated
pneumonia in Chinese patients[J]. Neurol Res,2011,
33(5):508-513.
[10] MAO L,LIU X,ZHENG P,et al. Epidemiologic
features,risk factors,and outcomes of respiratory
infection in patients with acute stroke[J]. Ann Indian
Acad Neurol,2019,22(4):395-400.
[11] PATEL U K,KODUMURI N,DAVE M,et al.
Stroke-associated pneumonia:a retrospective study
of risk factors and outcomes[J]. Neurologist,2020,
25(3):39-48.
[12] 陈兴泳,汪银洲,张旭,等. 急性脑梗死住院患者医
院感染的特征及危险因素分析[J]. 中华老年心脑血
管病杂志,2014,16(8):837-839.
[13] 李慧,李蔼文,李晓君,等. 神经重症康复单元意识
障碍患者医院感染的调查与分析[J]. 临床神经外科
杂志,2020,17(1):33-36.
[14] 张丹丹,宋波,赵璐,等. 大脑后动脉偏侧优势对同
侧大脑中动脉病变卒中严重程度及预后的影响[J].
中国卒中杂志,2017,12(4):314-319.
[15] 吴淑芳,顾志贤,芮雪,等. 进展性脑卒中患者肺部
感染危险因素及预防对策思考[J]. 解放军预防医学
杂志,2019,37(11):51-52.
[16] PAGANINI-HILL A,LOZANO E,FISCHBERG
G,et al. Infection and risk of ischemic stroke:
differences among stroke subtypes[J]. Stroke,2003,
34(2):452-457.
[17] EMSLEY H C,HOPKINS S J. Acute ischaemic
stroke and infection:recent and emerging
concepts[J]. Lancet Neurol,2008,7(4):341-353.
[18] PITTOCK S J,MELDRUM D,HARDIMAN O,
et al. The Oxfordshire community stroke project
classification:correlation with imaging,associated
complications,and prediction of outcome in acute
ischemic stroke[J]. J Stroke Cerebrovasc Dis,2003,
12(1):1-7.
[19] 姚桂飞,梁国安,李海燕,等. 急性脑卒中患者医院
获得性呼吸道感染的临床分析[J]. 中华医院感染学
杂志,2016,26(19):4437-4439.
[20] 高琳. 急性卒中患者医院获得性呼吸道感染的致病
病原谱及其对预后影响的研究进展[J]. 江西科学,
2015,33(4):515-518.
[21] 陈婷,李欢,陈海,等. 老年患者短期呼吸道感染
对缺血性脑卒中发病的影响[J]. 中国老年学杂志,
2020,40(7):1379-1382.
[22] 嵇朋,孙根,江利敏,等. 阻塞性睡眠呼吸暂停低通
气综合征与急性缺血性脑卒中预后的关系[J]. 中华
老年心脑血管病杂志,2020,22(12):1297-1300.
[23] CHINER E,LLOMBART M,VALLS J,et al.
Association between obstructive sleep apnea and
community-acquired pneumonia[J/OL]. PLoS One,
2016,11(4):e152749[2021-02-09]. https://doi.
org/10.1371/journal.pone.0152749.
[24] 林丽娜,陈丽萍. 吸烟对下呼吸道感染患者诱导痰
中IL-4和IL-17的影响[J]. 中国微生态学杂志,2019,
31(4):436-438.
[25] 潘珏,何礼贤. 吸烟与呼吸道感染[J]. 中华结核和呼
吸杂志,2010,33(1):73-74.
[26] 薛红,赵辉,张蕊,等. 吸烟对人体呼吸道厌氧菌的
影响[J]. 中国微生态学杂志,2014,26(3):276-278.
[27] HOFFMANN S,HARMS H,ULM L,et al.
Stroke-induced immunodepression and dysphagia
independently predict stroke-associated pneumonia—
the PREDICT study[J]. J Cereb Blood Flow Metab,
2017,37(12):3671-3682.
[28] 卒中患者吞咽障碍和营养管理中国专家组. 卒中患者
吞咽障碍和营养管理的中国专家共识(2013版)[J].
中国卒中杂志,2013,8(12):973-983.
[29] EL-SOLH A A,PIETRANTONI C,BHAT A,et
al. Microbiology of severe aspiration pneumonia in
institutionalized elderly[J]. Am J Respir Crit Care
Med,2003,167(12):1650-1654.
[30] FURIE K L,JAYARAMAN M V. 2018 Guidelines
for the early management of patients with acute
ischemic stroke[J]. Stroke,2018,49(3):509-510.
[31] ELTRINGHAM S A,KILNER K,GEE M,et al.
Impact of dysphagia assessment and management on
risk of stroke-associated pneumonia:a systematic
review[J]. Cerebrovasc Dis,2018,46(3-4):99-107.
[32] 何燚,白定群. 呼吸肌训练在脑卒中相关性肺炎中的
临床应用进展[J]. 中国康复医学杂志,2019,34(6):
733-736.
[33] 邓毫斌,伍大华. 急性脑卒中相关性肺炎的危险因素
分析[J]. 卒中与神经疾病,2018,25(5):583-585.
[34] 徐秋霜. 老年脑卒中相关性肺炎(SAP)的病原菌特
点及其危险因素分析[J]. 卒中与神经疾病,2017,24
(4):338-341.
[35] JIAO J,YANG X Y,LI Z,et al. Incidence and
related factors for hospital-acquired pneumonia
among older bedridden patients in china:a hospitalbased
multicenter registry data based study[J/OL].
Front Public Health,2019,7:221[2021-02-09].
https://doi.org/10.1371/journal.pone.0152749.
[36] CHEN P C,CHUANG C H,LEONG C P,et
al. Systematic review and meta-analysis of the
diagnostic accuracy of the water swallow test for
screening aspiration in stroke patients[J]. J Adv Nurs,
2016,72(11):2575-2586.
[37] DONG Y,HU B B,HUANG S Y,et al. The
modified volume-viscosity swallow test as a
predictor of aspiration pneumonia after acute
ischemic stroke[J/OL]. Clin Neurol Neurosurg,2021,
200:106351[2021-02-09]. https://doi.org/10.1016/
j.clineuro.2020.106351.
[38] YE T,HUANG S Y,DONG Y,et al. Comparison
of two bedside evaluation methods of dysphagia in
patients with acute stroke[J]. Stroke Vasc Neurol,
2018,3(4):237-244.
[39] FISCHER U,ARNOLD M,NEDELTCHEV K,et
al. NIHSS score and arteriographic findings in acute
ischemic stroke[J]. Stroke,2005,36(10):2121-
2125.
[40] 范秉林,李吕力,韦俊杰,等. 脑梗死后卒中相关性
感染的危险因素[J]. 中国神经精神疾病杂志,2017,
43(11):651-655.
[41] RIBEIRO P W,COLA P C,GATTO A R,et al.
Relationship between dysphagia,national institutes
of health stroke scale score,and predictors of
pneumonia after ischemic stroke[J]. J Stroke
Cerebrovasc Dis,2015,24(9):2088-2094.
[42] 蔡业峰,贾真,李伟峰,等. 中文版Barthel指数对多
中心测评缺血性卒中患者预后的研究[J]. 中国脑血
管病杂志,2007,4(11):486-490.
[43] 闵瑜,吴媛媛,燕铁斌. 改良Barthel指数(简体中文
版)量表评定脑卒中患者日常生活活动能力的效度
和信度研究[J]. 中华物理医学与康复杂志,2008,30
(3):185-188.
[44] 金静芬,李梅,陈圆圆,等. 脑卒中患者早期运动康
复护理方案的构建[J]. 中华护理杂志,2020,55(9):
1360-1365.
[45] ZURRU M C,ALONZO C,BRESCACIN
L,et al. Recent respiratory infection predicts
atherothrombotic stroke:case-control study in a
Buenos Aires healthcare system[J]. Stroke,2009,40
(6):1986-1990.
[46] IZUHARA Y,MATSUMOTO H,NAGASAKI T,
et al. Mouth breathing,another risk factor for asthma:
the Nagahama Study[J]. Allergy,2016,71(7):
1031-1036.
[47] ANDERSON C S,ARIMA H,LAVADOS P,et
al. Cluster-randomized,crossover trial of head
positioning in acute stroke[J]. N Engl J Med,2017,
376(25):2437-2447.
[48] 张冠壮,黄宏敏,卢瑞丽,等. 重症高血压脑出血患
者预防肺部感染的气道管理[J]. 中华医院感染学杂
志,2018,28(10):1574-1576.
[49] 王燕南. 无创正压通气中呼吸系统感染的预防[J]. 中
华医院感染学杂志,2011,21(7):1322.
[50] BERNHARDT J,DEWEY H,THRIFT A,et al. A
very early rehabilitation trial for stroke(AVERT):
phase Ⅱ safety and feasibility[J]. Stroke,2008,39
(2):390-396.
[51] FINUCANE T E,BYNUM J P. Use of tube feeding
to prevent aspiration pneumonia[J]. Lancet,1996,
348(9039):1421-1424.
[52] WOLLMAN B,D'AGOSTINO H B,WALUSWIGLE
J R,et al. Radiologic,endoscopic,and
surgical gastrostomy:an institutional evaluation and
meta-analysis of the literature[J]. Radiology,1995,
197(3):699-704.
[53] OMARI T I,DEJAEGER E,TACK J,et al. Effect of
bolus volume and viscosity on pharyngeal automated
impedance manometry variables derived for broad
dysphagia patients[J]. Dysphagia,2013,28(2):
146-152.
[54] NEWMAN R,VILARDELL N,CLAVE P,et al.
Effect of bolus viscosity on the safety and efficacy
of swallowing and the kinematics of the swallow
response in patients with oropharyngeal dysphagia:
white paper by the European Society for Swallowing
Disorders(ESSD)[J]. Dysphagia,2016,31(2):
232-249.
[55] AVERT Trial Collaboration group. Efficacy and
safety of very early mobilisation within 24 h of
stroke onset(AVERT):a randomised controlled
trial[J]. Lancet,2015,386(9988):46-55.
[56] 王明霞. 早期康复护理对脑卒中偏瘫患者肢体功能
及生活能力的影响[J]. 临床研究,2019,27(1):150-
151.
[57] 王兰珍,徐利萍,胡军,等. 脑卒中后吞咽障碍患者
酸刺激康复训练时机研究[J]. 护理与康复,2019,18
(8):63-66.
[58] 王珊珊,顾莹,刘敏,等. 口肌生物反馈训练结合常
规吞咽康复训练治疗脑卒中后吞咽障碍的疗效观察
[J]. 中华物理医学与康复杂志,2017,39(1):27-29.
[59] 吴霜,刘春风,楚兰,等. 肌电生物反馈联合低频电
刺激和康复训练对脑卒中后吞咽功能障碍的影响[J].
中华物理医学与康复杂志,2017,39(5):332-335.
[60] 杨志敏. 呼吸训练在脑卒中合并肺部感染患者康
复治疗中的应用进展[J]. 国际感染病学(电子版),
2020,9(2):246-248.
[61] 许倩瑜,麦志晖,周斯敏,等. 非人工气道湿化在脑
卒中患者呼吸道感染预防中的应用[J]. 齐鲁护理杂
志,2021,27(5):128-130.
[62] 王海波,周伟宏. 系列排痰训练治疗脑卒中患者气
管切开术后合并肺部感染的疗效观察[J]. 中国康复,
2017,32(6):500-502.
[63] 周晓娟,章延青,蔡辛培. 非人工气道高龄患者两种
吸痰方式的效果比较[J]. 实用临床护理学电子杂志,
2018,3(44):2-3.
[64] 黄敏,肖志刚. 肺部感染与高龄老年多器官功能衰竭
的研究[J]. 医学综述,2011,17(21):3343-3345.
[65] 王星利. 早期机械通气干预对出血性脑卒中术后低
氧血症患者的影响[J]. 中国实用神经疾病杂志,2018,
21(9):975-978.
[66] 胡祥莹,俞蕾蕾,胡嘉乐,等. 成人患者人工气道湿
化临床实践指南的内容分析[J]. 中华现代护理杂志,
2016,22(5):627-631.
[67] RESTREPO R D,WALSH B K. Humidification
during invasive and noninvasive mechanical
ventilation:2012[J]. Respir Care,2012,57(5):782-
788.
[68] American Association for Respiratory Care. AARC
clinical practice guidelines. endotracheal suctioning
of mechanically ventilated patients with artificial
airways 2010[J]. Respir Care,2010,55(6):758-764.
[69] COPNELL B,TINGAY D G,KIRALY N J,et al. A
comparison of the effectiveness of open and closed
endotracheal suction[J]. Intensive Care Med,2007,
33(9):1655-1662.
[70] 中华医学会呼吸病学分会呼吸治疗学组. 人工气道
气囊的管理专家共识(草案)[J]. 中华结核和呼吸杂
志,2014,37(11):816-819.
[71] LAVORINI F,BUTTINI F,USMANI O S. 100
years of drug delivery to the lungs[J/OL]. Handb Exp
Pharmacol,2019,260:143-159[2021-02-09]. https:
//doi.org/10.1007/164_2019_335.
[72] 杜光,赵杰,卜书红,等. 雾化吸入疗法合理用药
专家共识(2019年版)[J]. 医药导报,2019,38(2):
135-146.