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ICU缺血性脑卒中患者肺部感染现状及影响因素分析

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目的 分析ICU缺血性脑卒中患者肺部感染现状及影响因素。方法 选取 2020 年 2 月至 2023 年 2 月本院ICU收治的189 例缺血性脑卒中患者,收集其临床资料并记录肺部感染发生情况。采用多因素Logistic回归分析探讨ICU缺血性脑卒中患者发生肺部感染的影响因素。结果 189例ICU缺血性脑卒中患者中,35例(18。52%)发生肺部感染。多因素Logistic回归分析结果显示,年龄、低蛋白血症、意识障碍、吞咽障碍、自主咳嗽能力、侵入性操作、不合理应用抗生素是ICU缺血性脑卒中患者发生肺部感染的影响因素(P<0。05)。结论 ICU缺血性脑卒中患者肺部感染发生率较高,年龄、低蛋白血症、意识障碍、吞咽障碍、自主咳嗽能力、侵入性操作、不合理应用抗生素是其发生肺部感染的影响因素,临床应加强干预。
Analysis of the current status and influencing factors of pulmonary infection in patients with ischemic stroke in ICU
Objective To analyze the current status and influencing factors of pulmonary infection in patients with ischemic stroke in ICU.Methods A total of 189 patients with ischemic stroke admitted in ICU of our hospital from February 2020 to February 2023 were selected.The clinical data of the patients were collected and the incidence of pulmonary infection was recorded.Multivariate Logistic regression analysis was used to explore the influencing factors of pulmonary infection in ICU patients with ischemic stroke.Results Of the 189 patients with ischemic stroke in ICU,35 cases(18.52%)had pulmonary infection.Multivariate Logistic regression analysis showed that age,hypoproteinemia,disturbance of consciousness,dysphagia,spontaneous cough ability,invasive operation and unreasonable application of antibiotics were the influencing factors of pulmonary infection in ICU patients with ischemic stroke(P<0.05).Conclusion The incidence of pulmonary infection in patients with ischemic stroke in ICU is high.Age,hypoproteinemia,disturbance of consciousness,dysphagia,autonomous cough ability,invasive operation and unreasonable application of antibiotics are the influencing factors of pulmonary infection.Clinical intervention should be strengthened.

ICUischemic strokepulmonary infection

俎振英

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濮阳市人民医院EICU,河南 濮阳,457000

ICU 缺血性脑卒中 肺部感染

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(11)
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