河北医学Issue(2)：201-204,4.DOI:10.3969/j.issn.1006-6233.2015.02.009
使用胃管的卒中急性期患者相关肺炎临床研究∗
Pneumonia in Acute Stroke Patients Fed by Nasogastric Tube
摘要
Abstract
Objective:To estimate the frequency of pneumonia in acute stroke patients fed by nasogas-tric tube, to determine risk factors for this complication, and to examine whether the occurrence of pneumo-nia is related to outcome. Method:A prospective study was done on 98 patients with acute stroke who were given tube feeding because of dysphagia. Functional outcome was assessed at three months. Logistic regres-sion and multivariate regression analysis were used to identify variables significantly associated with the oc-currence of pneumonia and those related to a poor outcome. Result:Pneumonia was diagnosed in 44.9% of the tube fed patients. Most patients acquired pneumonia on the second or third day after stroke onset. Patients with pneumonia more often required endotracheal intubation and mechanical ventilation than those without pneumonia. Independent predictors for the occurrence of pneumonia were a decreased level of consciousness and severe facial palsy. The NIH stroke scale score on admission was the only independent predictor of a poor outcome . Conclusion:Nasogastric tubes offer only limited protection against aspiration pneumonia in patients with dysphagia from acute stroke. Pneumonia occurs mainly in the first day of the illness and patients with de-creased consciousness and a severe facial palsy are especially endangered.关键词
急性卒中/肺炎/胃管Key words
Acute stroke/Pneumonia/Nasogastric tube引用本文复制引用
冯银玲..使用胃管的卒中急性期患者相关肺炎临床研究∗[J].河北医学,2015,(2):201-204,4.基金项目
内蒙古自然基金资助项目,(编号:2009ms1126) （编号:2009ms1126）
