摘要
目的探讨急性脑血管病并发肺部感染预后的影响因素。方法急性脑血管病并发肺部感染患者434例,根据出院时格拉斯哥昏迷评分(GCS)进行分组,GCS>8分纳入预后良好组,GCS≤8分纳入预后不良组,收集一般资料和疾病资料。结果 434例急性脑血管病并发肺部感染患者中预后不良者107例(24.65%),预后良好者327例(75.34%),Logistic回归分析显示,年龄<60岁(OR=0.527,95%CI为0.293~0.950)、无糖尿病(OR=0.528,95%CI为0.281~0.988)、住院时间≤14 d(OR=0.358,95%CI为0.162~0.788)、无吞咽功能障碍(OR=0.324,95%CI为0.183~0.576)、无侵入性操作(OR=0.449,95%CI为0.241~0.836)是急性脑血管病并发肺部感染预后良好的保护因素(P<0.05)。结论急性脑血管病并发肺部感染患者受多种因素影响,高龄、糖尿病、住院时间长、吞咽功能障碍、侵入性操作是影响急性脑血管病并发肺部感染预后良好的危险因素。
引文
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