卒中相关性肺炎对急性脑梗死患者病情及预后的影响研究.docVIP

卒中相关性肺炎对急性脑梗死患者病情及预后 的影响研究 [摘要] 目的：探讨卒中相关性肺炎在急性脑梗死患者病情判断及预后中的作用。方法：选取2008年1月至2013年1月的急性脑梗死患者47例，分观察组23例和对照组24例，观察组为存在卒中相关性肺炎患者，对照组患者无卒中相关性肺炎。对卒中相关性肺炎与急性脑梗死病情和预后的关系进行分析。结果：观察组APACHEⅡ评分大于20分发生率、住院天数及死亡率均较对照组高，差异有统计学意义（P＜0.05）。结论：卒中相关性肺炎可加重急性脑梗死患者的病情，预后不良，患者病死率上升。 关键词：卒中相关性肺炎；急性脑梗死；预后判断； Affect research of stroke-related pneumonia on severity and prognosis in patients with acute cerebral infarction [Abstract] Objective: To investigate the role in determine the condition and prognosis of stroke-associated pneumonia in patients with acute cerebral infarction.Methods:47 cases hospitalized patients who had cerebral infarction from January 2008 to January 2013 were selected, divided into observation group of 23 patients () and a control group of 24 patients,observation group was present in patients with stroke-associated pneumonia,the control group did not stroke-related pneumonia.Analysis the relationship of Stroke-related pneumonia-related factors and the occurrence of acute cerebral infarction, prognosis.Results:The incidence of APACHE Ⅱ score more than 20points ,in hospital days and mortality rates of observation group higher than the control group,there were significant differences between the two groups (P＜0.05).Conclusion:Stroke-associated pneumonia can aggravating the condition of patients with acute cerebral infarction,poor prognosis,and increasing patient mortality. Keywords:Stroke-related pneumonia; acute cerebral infarction; prognosis 急性脑梗死( acute cerebral infarction，ACI) 是我国最常见的心脑血管疾病，是导致患者致残和丧失劳动力的主要原因[1]。部分脑梗死患者并不是死于疾病本身，常常是由于并发症导致死亡，而肺部感染是最主要的原因[2]。本研究对47例急性脑梗死患者临床资料进行整理分析，汇报如下： 1 资料与方法 1.1 一般资料 收集2008年1月至2013年1住院资料完整的急性脑梗死患者47例，男性28例，女性患者19例，年龄57-82岁，平均年龄72.89±8.75岁；合并高血压病18例，高脂血症15例，糖尿病14例，冠心病9例。 1.2 诊断标准 急性脑梗死诊断标准参照2010年中国急性缺血性脑卒中诊治指南[3]： 卒中相关性肺炎诊断标准参照2010年达成的卒中相关性肺炎诊治中国专家共识[4]： 1.3方法 临床症状：包括神经缺损程度，是否有意识障碍和吞咽障碍等；统计患者梗死部位及计算梗死面积；分别于入院院时、住院期间及确诊后采用美国国立卫生研究院脑卒中量表（National Institutes of Health Stroke Scale，NIHSS）评价患者神经功能缺损情况，入院时采用APACHEⅡ量表对患者一般情况进行评估、出院时采用出改