摘要
Abstract
Objective To explore the risk factors and prognosis of patients with acute stroke combined with hospital ac-quired pneumonia (HAP).Methods The clinical data of 120 patients with acute stroke from September 2011 to February 2013 in our hospital was taken for retrospective analysis.The risk factors of HAP after acute stroke were assessed ,including age , gender ,type of stroke ,diabetes ,hypertension ,prophylactic antibiotics and mechanical ventilation.The differences in prognosis of AS patients with HAP group and non-HAP group were compared. Results The incidence rate of AS combined with HAP was 19.17%.HAP was associated with age ,diabetes ,prophylactic antibiotics ,and mechanical ventilation. Multivariate analy-sis showed that these factors were independent risk factors for HAP.And the NIHSS score ,morbidity and mortality rates of HAP group were significantly higher than those of non-HAP group ,ADL scores were significantly lower than that of the non-HAP group ,hospital stay was significantly longer than that of non-HAP group , P<0.05.Conclusion Acute stroke patients combined with hospital acquired pneumonia has poor prognosis ,and the age ,diabetes ,prophylactic antibiotics ,mechanical ventilation are the related risk factors.关键词
急性脑卒中/医院获得性肺炎/危险因素/预后Key words
Acute stroke/Hospital acquired pneumonia/Risk factors/Prognosis分类
医药卫生
