中医临床研究2025，Vol.17Issue(15)：29-32,4.DOI:10.3969/j.issn.1674-7860.2025.15.007
浅析缺血性脑卒中与肺炎的关系
An analysis of the relationship between ischemic stroke and pneumonia
摘要
Abstract
Cerebral infarction(CI)refers to cerebrovascular diseases involving obstruction of blood supply and stenosis of cerebral vessels,which results in a series of neurological impairment.CI occurs frequently in people over 60 years old.In recent years,the incidence of CI has increased gradually,becoming the most common cerebrovascular disease.It has the characteristics of high disability rate,mortality rate,and recurrence rate.Clinical studies have found that most elderly patients do not die directly from CI,but from various complications.Stroke-associated pneumonia(SAP)refers to new pneumonia in stroke patients within 7 days of non-mechanical ventilation.SAP mainly presents with symptoms of pulmonary infection such as chills,fever,cough,sputum,and dyspnea,and it is one of the most common complications of CI,ranking first among the complications of ischemic stroke,and it is one of the important causes of death of CI patients.Therefore,early diagnosis and intervention in clinical treatment of SAP has positive significance for the prognosis of CI patients.This paper mainly analyzes the relationship between ischemic stroke and pneumonia,summarizes the pathogenesis of SAP in traditional Chinese medicine and modern pathological mechanism by referring to a large number of literatures,believes that SAP belongs to the category of"lung heat"and"cough"in traditional Chinese medicine,and briefly outlines the correlation between CI and SAP,as well as related risk factors such as swallowing dysfunction,consciousness disturbance,and stroke-induced immunosuppression.In terms of treatment,SAP patients are mostly weak or elderly patients with long-term illness and decreased visceral functions.The pathogenic factors are closely related to pathological factors such as wind,heat,blood stasis,and phlegm.Based on the etiology and pathogenesis,traditional Chinese medicine pays attention to the methds of strengthening the healthy Qi(气)and tonifying to strengthen spleen and clear lung heat,and removing stasis and eliminating phlegm,dredging Fu organs(腑)and eliminate heat.Acupuncture treatment is the main treatment,which is combined with Western anti-infection treatment on the basis of the theory of dispel Chinese medicine,reasonable selection of prescription and medication can reduce the adverse reactions of antibiotics,enhance immunity,and improve the quality of life of patients.关键词
脑梗死/肺炎/脑血管疾病/卒中相关性肺炎/病因病机Key words
Cerebral infarction/Pneumonia/Cerebrovascular disease/Stroke-related pneumonia/Etiology and pathogenesis分类
医药卫生引用本文复制引用
周嵘,韩清,周喜燕..浅析缺血性脑卒中与肺炎的关系[J].中医临床研究,2025,17(15):29-32,4.基金项目
山东省中医药科技项目(2021M112). （2021M112）
