摘要
目的探讨老年急性脑梗死合并医院获得性肺炎(HAP)患者的临床特点,为预防HAP的发生提供依据。方法回顾性分析我院620例老年急性脑梗死患者的临床资料,根据是否发生HAP分成两组,比较两组的神经功能评分和死亡率,分析痰培养细菌学特点。结果620例老年急性脑梗死患者发生HAP118例,合并HAP组的神经功能评分和死亡率分别为29.7±11.3和21.18%,无发生HAP患者神经功能评分和死亡率分别为26.2±12.5和8.36%(P<0.05);痰细菌学检查以革兰阴性杆菌为主,占74.1%,多为肺炎克雷伯菌、大肠埃希菌和铜绿假单胞菌。结论老年急性脑梗死易合并HAP,感染细菌多为革兰阴性杆菌,死亡率较高。要积极预防HAP的发生,提高老年脑梗死患者的生存率。
Objective To study the characteristics of elderly acute cerebral infarction complicated with hospital acquired pneumonia （HAP） and to provide the basis for the prevention of HAP. Methods The study reviewed and analyzed the characteristics of 620 elderly patients with acute cerebral infarction. According to the occurrence of HAP patients were divided into 2 groups. The nerve function score and mortality of the 2 groups were compared, and the characteristics of sputum bacteriology were analyzed. Results The 620 elderly patients had acute infarction. HAP occurred in 118 cases. The neurological score and mortality of patients with HAP were 29. 7 ± 11.3 and 21.18 % respectively, and the patients without HAP were 26. 2 ± 12. 5 and 8. 36% respectively （P 〈 0. 05）. 74. 1% of bacteriological examination of sputum were Gram-negative bacilli, and most bacteria types were klebsiella pneumoniae, escherichia coli and pseudomonas aetuginosa. Conclusion The elderly patients with acute cerebral infarction combined HAP can occur easily, bacterial infections are mostly gram - negative bacilli, and the mortality rate is higher. Preventing the occurrence of HAP actively is important to improve the survival rate of elderly patients with cerebral infarction.
出处
《临床肺科杂志》
2010年第3期330-331,共2页
Journal of Clinical Pulmonary Medicine
关键词
老年人
脑梗死
医院获得性肺炎
the elderly
cerebral infarction
hospital acquired pneumonia
