探讨老年脑卒中合并吸入性肺炎临床特征及治疗效果.docVIP

探讨老年脑卒中合并吸入性肺炎临床特征及治疗效果 　　[摘要]目的 探讨老年脑卒中合并吸入性肺炎的临床特征及治疗效果。方法 选取2015年1月～2016年10月我院收治的120例老年脑卒中患者作为研究对象。60例老年脑卒中合并吸入性肺炎患者作为实验组，60例无吸入性肺炎老年脑卒中患者作为常规组。分析吸入性肺炎患者的临床表现、肺部影像学检查情况、痰培养结果、相关危险因素、疾病治疗与预后情况。结果 实验组患者中31例存在典型呼吸系统表现，29例不存在典型呼吸系统表现；7例存在叶或段实变阴影、肺不张，51例下肺；44例致病菌生长。对比两组患者的基本资料，年龄、白蛋白水平、吸烟史、合并糖尿病、意识障碍、制酸剂、鼻饲时间均为吸入性肺炎的危险因素，差异有统计学意义（P0.05）。结论 对老年脑卒中患者来说，吸入性肺炎的临床表现缺乏典型特征，进行痰培养分离，致病菌较为复杂多样，临床上应重视该类疾病的预防工作。 　　[关键词]吸入性肺炎；老年脑卒中；治疗效果；临床特征 　　[中图分类号] R573.1 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0029-03 　　Exploration of the clinical characteristics and therapeutic effect in senile stroke patients combined with aspiration pneumonia 　　PENG Zi-cheng 　　Department of Internal Medicine，Jiaoling Traditional Chinese Medicine Hospital in Meizhou City，Guangdong Province，Jiaoling 514100，China 　　[Abstract]Objective To explore the clinical characteristics and therapeutic effect on senile stroke patients combined with aspiration pneumonia.Methods From January 2015 to October 2016，120 cases of senile cerebral apoplexy patients treated in our hospital were selected as the research objects，60 cases of senile stroke patients combined with aspiration pneumonia as experimental group，60 cases without aspiration pneumonia senile stroke patients as normal group.The clinical manifestations of aspiration pneumonia，pulmonary imaging examination，outcome of sputum culture，relevant risk factors，disease treatment and prognosis were analyzed.Results In the experimental group，there were 31 cases with typical manifestations of respiratory system，and 29 cases were absent.There were 7 cases presented with lobe or segment consolidation shadow and atelectasis.51 cases were in inferior lung.44 cases were ascribed to pathogen growth.Compared the basic information of patients in the two groups，showed that age，albumin level，smoking history，combination of diabetes mellitus，disturbance of consciousness，antacids，nasogastric time were risk factors of aspiration pneumonia，the differences were statistically significan