摘要
目的:探讨急诊脑卒中患者并发卒中相关性肺炎(SAP)的危险因素。方法:以整群抽样方式选择2019年3月-2021年6月就诊于赣州市人民医院的96例急诊脑卒中患者为研究对象,分析急诊脑卒中患者并发SAP的危险因素。结果:急诊脑卒中患者SAP发生率为47.92%(46/96);并发SAP组年龄≥65岁、糖尿病、格拉斯哥昏迷(GCS)评分<9分、鼻饲治疗史、使用抑酸药物、应用呼吸机占比均高于未并发SAP组,差异均有统计学意义(P<0.05);两组性别、吸烟史、脑卒中部位、高血压、脑卒中史、脑卒中性质、预防性使用抗生素、使用镇静药物比较,差异均无统计学意义(P>0.05);多因素分析显示,年龄≥65岁[OR=3.548,95%CI(1.239,10.165)]、糖尿病[OR=2.972,95%CI(1.084,8.153)]、GCS评分<9分[OR=3.980,95%CI(1.699,9.322)]、鼻饲治疗史[OR=6.988,95%CI(2.805,17.410)]、使用抑酸药物[OR=11.839,95%CI(4.355,32.188)]、应用呼吸机[OR=5.529,95%CI(1.448,21.115)]是急诊脑卒中患者并发SAP的危险因素(P<0.05)。结论:急诊脑卒中患者并发SAP与年龄、糖尿病、GCS评分、鼻饲治疗史、使用抑酸药物、应用呼吸机有关。
Objective:To explore the risk factors of stroke-associated pneumonia(SAP)in patients with acute stroke.Method:A total of 96 patients with acute stroke admitted to Ganzhou People’s Hospital from March 2019 to June 2021 were selected as the study subjects by cluster sampling method,and the risk factors of SAP in patients with acute stroke were analyzed.Result:The incidence of SAP in patients with acute stroke was 47.92%(46/96);the proportions of age≥65 years old,diabetes,Glasgow coma scale(GCS)score<9 points,history of nasal feeding treatment,use of acid-suppressing drugs,and use of ventilator in SAP group were higher than those in non-SAP group,with statistical differences(P<0.05);there were no statistical differences between the two groups in gender,smoking history,stroke location,hypertension,stroke history,stroke nature,preventive use of antibiotics,and use of sedative drugs(P>0.05);multivariate analysis showed that age≥65 years[OR=3.548,95%CI(1.239,10.165)],diabetes[OR=2.972,95%CI(1.084,8.153)],GCS score<9 points[OR=3.980,95%CI(1.699,9.322)],history of nasal feeding treatment[OR=6.988,95%CI(2.805,17.410)],use of acid-suppressing drugs[OR=11.839,95%CI(4.355,32.188)],use of ventilator[OR=5.529,95%CI(1.448,21.115)]was a risk factor for SAP in patients with acute stroke(P<0.05).Conclusion:SAP in patients with acute stroke is related to age,diabetes,GCS score,history of nasal feeding,use of acid-suppressing drugs and use of ventilator.
作者
曾九华
ZENG Jiuhua(Ganzhou People’s Hospital,Jiangxi Province,Ganzhou 341000,China)
出处
《中国医学创新》
CAS
2022年第18期98-101,共4页
Medical Innovation of China
基金
赣州市指导性科技计划项目(GZ2020ZSF166)。
关键词
急诊脑卒中
卒中相关性肺炎
糖尿病
鼻饲治疗史
抑酸药物
Acute stroke
Stroke-associated pneumonia
Diabetes
History of nasogastric feeding
Acid-suppressing drugs
作者简介
通信作者:曾九华。
