国际医药卫生导报2013，Vol.19Issue(16)：2467-2471,5.DOI:10.3760/cma.j.issn.1007-1245.2013.16.007
早发性卒中相关性肺炎危险因素与病原学特点的研究
Research of pathogen features and risk factors of early-onset stroke-associated pneumonia
摘要
Abstract
Objective To research the risk factors and bacterial spectrum of early-onset stroke-associated pneumonia (EOP).Method Retrospectively analysis was conducted to study the clinical material of 54 patients with EOP and 50 patients with non-EOP stroke from Jan 2008 to Dec 2010.Results There were significant differences of smoke,diabetes,pulmonary disease,dystrophy,vomit,aspiration,stroke position and range,National Institute of Health Stroke Scale (NIHSS),consciousness disorder,dysphasia,nasogastric feeding,trachea cannula,tracheotomy and craniotomy between the group of EOP and control group (P＜0.01).There were no significant differences of medicine and position of patients (P＞0.05).There were 8 cases infected with pseudomonas aeruginosa,5 cases with escherichia coli,7 cases with klebsiella pneumonia,3 cases with acinetobacter baumannii,4 cases with staphylococcus aureus,8 cases with proteus mirabilis,6 cases with enterobacter cloacae,2 cases with streptococcus agalactia,3 cases with albicans saccharomyces,2 cases with Candida tropicalis,2 cases with enterococcus faecium,2 cases with streptococcus A,2 cases with Neisseria.Conclusion The pathogen of EOP is community acquired pathogens or hospital acquired pneumonia pathogen with potential drug resistance.The critical factors are weakening of resistance power,planting of bacterium and aspiration.The correct measures should include nutritional support,respiratory management,reduce of bacterial dystopy and reasonable use of antibiotic.关键词
早发性肺炎/卒中相关性肺炎/卒中/危险因素/病原学Key words
Early-onset pneumonia (EOP) / Stroke-associated pneumonia (SAP) / Stroke/ Risk factor/Pathogen引用本文复制引用
卢家璋,包陆君,陈均昌,谢才兰,刘海生,陈成贤..早发性卒中相关性肺炎危险因素与病原学特点的研究[J].国际医药卫生导报,2013,19(16):2467-2471,5.基金项目
2010年广东省人口计生委科研项目(2010307) （2010307）
