【摘要】 [目的]分析急性脑卒中患者并发肺部感染的危险因素,制订预防措施。[方法]对2005～2007年的1754例急性脑卒中患者进行回顾性调查分析,将有肺部感染与无肺部感染者进行对比。[结果]急性脑卒中并发肺部感染与高龄、意识障碍、吞咽障碍、基础疾病、长期卧床、侵袭性操作、糖皮质激素、抗生素、H2受体阻滞剂使用有关。其中有意识障碍、吞咽障碍及侵袭性操作者肺部感染率明显升高。[结论]避免可能引起感染的一切因素,加强护理,积极预防和训练吞咽障碍可有效控制肺部感染,提高患者生活质量,降低死亡率。更多还原

【Abstract】 [Objective] To study the risk factors of pulmonary infection in cerebral apoplectic patients and explore the methods of prevention. [Methods] A retrospective survey on 1 754 cerebral apoplectic patients were investigated, and com-pared patients with pulmonary infection and without pulmonary infection. the rate of pulmonary infection. [Results] There is a relationship between pulmonary infection and advanced age, disturbance of consciousness, deglutition disorders, basic dis-ease, long-term bed, invasive operation, uses of glucocorticoid, antibiotics and H2-blockers. The rate of pulmonary infection highly increased in the patients with many risk factors, especially with the disturbance of consciousness, deglutition disorders and the invasive operation. [Conclusions] Controlling the rate of pulmonary infection can help us succeeding in treating cere-bral apoplexy and improve quality of life.更多还原