摘要
Abstract
Objective To investigate the relationship between the blood pressure (BP) and stroke-associated pneumonia (SAP) in patients with acute cerebral infarction.Methods A total of 174 patients with acute cerebral infarction admitted to our hospital from March 2010 to March 2013 were divided ,according to acute blood pressure values ,into normal BP group (with normal BP ,n=31) ,mild group (with mild hypertension ,n=27) ,moderate group (with moderate hypertension ,n=63) ,se-vere group (with severe hypertension ,n=53) ,and divided into SAP group (n=46) and non-SAP group (n=128) based on whether SAP occurred after acute cerebral infarction. Peripheral white blood cell count (WBC) ,C reactive protein (CRP) ,al-bumin (ALB) ,systolic blood pressure (SBP) ,GCS score and dysphagia incidence were compared between different groups and previous histories including smoking ,alcohol ,cerebral infarction ,diabetes ,hypertension ,ischemic heart diseases ,chronic congestive heart failure were recorded.Results There was significant difference in levels of WBC ,CRP and GCS score ,dys-phagia and SAP incidence among normal BP group ,mild group ,moderate group and severe group (P<0.05). There was sig-nificant difference in levels of SBP ,WBC ,CRP ,alcohol history ,GCS scores ,disturbance of consciousness and incidence of dysphagia between SAP and non-SAP groups (P<0.05). Multivariate logistic regression indicated that serum CRP ,WBC , hypertension ,smoking history ,GCS score and dysphagia were risk factors for SAP.compared with normal BP group ,severe hypertension group had significantly higher risk of SAP (P<0.05). Conclusion Severe hypertension after acute cerebral in-farction was an independent risk factor for SAP ,which provided theoretical basis for the prevention and treatment of SAP.关键词
急性脑梗死/血压/卒中相关性肺炎Key words
Acute cerebral infarction/Hypertension/Stroke-associated pneumonia分类
医药卫生
