中国卒中杂志2019，Vol.14Issue(4)：331-335,5.DOI:10.3969/j.issn.1673-5765.2019.04.006
自发性脑出血患者肺部感染的影响因素及其对策分析
Influence Factors and Treatment Strategy for Pulmonary Infection in Patients with Spontaneous Cerebral Hemorrhage
摘要
Abstract
Objective To investigate the influence factors of pulmonary infection (PI) in patients with spontaneous cerebral hemorrhage. Methods A retrospective analysis of clinical data of 228 patients with spontaneous cerebral hemorrhage in Huangshi Central Hospital from June 2015 to June 2018 were performed, to analyze the influence factors of PI in these patients. Results Of 228 patients with spontaneous cerebral hemorrhage, 100 cases (43.67%) had PI, and 148 pathogenic bacteria strains were isolated, including 128 strains (86.48%) of Gram-negative bacteria, 10 strains (6.76%) of Gram-positive bacteria and 10 strains (6.76%) of fungus. The single factor analysis results showed that age, smoking, dysphagia, GCS score, cerebral hemorrhage volume, airway invasive operation, nasal feeding, diabetes, lung diseases, hypoproteinemia were associated with PI after spontaneous cerebral hemorrhage (all P<0.05). The Logistic regression analysis showed that age ≥ 60 years,smoking,dysphagia, GCS score <8, bleeding volume ≥100 mL, airway invasive operation,nasal feeding, diabetes, lung disease, hypoproteinemia were independent risk factors of PI after spontaneous cerebral hemorrhage (P<0.05). Conclusions The incidence of PI after spontaneous cerebral hemorrhage is high, the strains of PI is mainly Gram-negative bacteria. PI occurrence is related with a variety of factors, especially age ≥60 years, smoking, dysphagia, GCS score <8, bleeding volume ≥100 mL, airway invasive operation, nasal feeding, diabetes, lung disease and hypoproteinemia. The patients with the above factors should be given more attention and timely intervention.关键词
脑出血/肺部感染/影响因素/干预Key words
Cerebral hemorrhage/Pulmonary infection/Influence factor/Intervention引用本文复制引用
WU Yong,LIU Qiang,YANG Hao,SHEN Song-Bo...自发性脑出血患者肺部感染的影响因素及其对策分析[J].中国卒中杂志,2019,14(4):331-335,5.基金项目
湖北省自然科学基金面上项目(2015CFB627) （2015CFB627）
