临床肺部感染评分在卒中相关性肺炎患者预后评估中的作用.pdfVIP

198 J Bengbu Med Coll,February2014,Vol.398,No.2 [文章编号] 1000-2200(2014)02-0198-04 ·临床医学· 临床肺部感染评分在卒中相关性肺炎患者预后评估中的作用 邓星奇,李艳艳,顾　 薇,周　 玲 [摘要]目的:探讨临床肺部感染评分(CPIS)的变化对卒中相关性肺炎(SAP)患者的预后评估作用。 方法:对 183例SAP患者 进行分析,记录出现SAP前3天及发病后第1、3、5、7天的CPIS,根据预后将患者分为存活组和病死组,比较2组CPIS的差异。 结果:所有患者发病后CPIS均比发病前明显升高(P0.01);病死组发病后第1、3、5、7 天与发病前3天的评分比较均明显升 高(P0.01);存活组发病后第1、3、5天与发病前3天的评分比较均明显升高,第7天则较第1天显著下降(P0.01)。 发病 后第5天且CPIS6分时,与存活患者相比病死率增高,其敏感性和特异性分别为91.3%和93.4%;CPIS与住院时间呈正相 关关系(P0.01);当接受充分治疗后,发病后第5天CPIS轻度下降,而在没有充分的抗感染治疗时变化不明显。 结论:CPIS 作为肺部感染程度的量化指标可以很好地预测SAP患者的预后。 [关键词]肺炎;脑卒中;临床肺部感染评分 [中国图书资料分类法分类号] R563.1　 　 　 [文献标志码]A The value of clinical pulmonary infection score in evaluation of the prognosis of stroke-associated pneumonia DENGXing-qi,LI Yan-yan,GU Wei,ZHOU Ling (Department of Emergency Medicine,ShanghaiMinhang District Central Hospital of RujinHospital Group,Shanghai201199,China) [Abstract] Objective:To study the value of clinical pulmonary infection score(CPIS) changes on the prognosis for the patients with stroke-associated pneumonia(SAP).Methods:The clinical dataof 183 caseswith SAPintheemergencywardwereanalyzed.CPISwas measured on3 days before the onset of SAP and on 1st,3rd,5th,and 7th day after SAP.According to the prognosis of SAP,patients were divided into fatal group and survival group.The differences were compared between the two groups.Results:A significant higher CPISwasfound at the onset of SAP comparedwith before SAP(P0.01).CPISwas significantly increased infatal group at the onset of SAP,aswell as at3rd,5th,and7th day after onset compared with at 3 days before SAP(P 0.01).CPIS was also increased in survivors attheonset of SAP,3rdand5thday after onset comparedwith at3 daysbeforeSAP,but decreasedat7thday after SAPonset compa