卒中相关性肺炎对急性脑梗死患者病情及预后影响研究.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 选取住院的急性脑梗死患者47例，分为观察组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。比较两组患者一般资料、临床症状及辅助检查结果，并对患者病情及预后进行评估。 结果 观察组患者入院时NIHSS评分、APACHEⅡ评分及出院时Rankin评分高于对照组，差异有统计学意义（P0.05）；观察组患者住院天数及死亡率高于对照组，差异有统计学意义（P0.05）；两组患者血常规、C反应蛋白、B型脑钠肽、前白蛋白、白蛋白及红细胞沉降率比较，差异有统计学意义（P0.05）。 结论 对急性脑梗死患者要预防卒中相关性肺炎的发生。 　　[关键词] 卒中相关性肺炎；急性脑梗死；预后判断 　　[中图分类号] R743.33 [文献标识码] B [文章编号] 2095-0616（2014）24-183-03 　　Effect research of stroke-related pneumonia on severity and prognosis of patients with acute cerebral infarction 　　JIN Penghua 　　Department of Internal Medicine，the Olive Dam Hospital of Jinghong City，Jinghong 666108，China 　　[Abstract] Objective To investigate the role of stroke-related pneumonia on severity and prognosis of patients with acute cerebral infarction. Methods 47 cases hospitalized patients with acute cerebral infarction were selected and divided into observation group of 23 patients with SAP and control group of 24 patients without stroke associated pneumonia.General information，clinical symptoms and laboratory test results of two groups were compared，and the condition and prognosis of patients were evaluated. Results NIHSS score，APACHEⅡ score and Rankin score at discharge of admission of observation group were higher than those of the control group，with the statistically significant difference（P0.05）.Hospitalization and mortality of the observation group were higher than those of the control group，with the statistically significant difference（P0.05）.Compared blood routine，C reactive protein，B-type natriuretic peptide，prealbumin，albumin and erythrocyte sedimentation rate of the two groups，the differences were statistically significant（P0.05）. Conclusion Patients with acute cerebral infarction should have the prevention of stroke associated pneumonia. 　　[Key words] 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]。急性脑梗死患者病情较重，感染发生率高，