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目的分析脑卒中患者并发下呼吸道感染相关因素。方法对2006年1月～2007年12月的390例脑卒中并发肺部感染患者的临床资料作相关因素分析。结果1098例脑卒中患者中发生肺部感染390例(35.52%)。肺部感染的发生与患者年龄、基础疾病、卒中部位,卒中性质、意识状态等有密切关系。肺炎双球菌、表皮葡萄球菌、铜绿假单胞菌、金黄色葡萄球菌、肺炎克雷伯氏菌是肺部感染的主要致病菌。结论脑卒中并发下呼吸道感染与多种因素相关,避免感染的易患因素和合理使用抗生素是防治感染的关键措施。
Objective To analyze the related factors of lower respiratory tract infection in patients with stroke. Methods The clinical data of 390 patients with stroke complicated with pulmonary infection from January 2006 to December 2007 were analyzed. Results Of 1098 stroke patients, 390 cases (35.52%) had pulmonary infection. The incidence of pulmonary infection and patient age, underlying disease, stroke site, the nature of the stroke, the status of consciousness are closely related. Streptococcus pneumoniae, Staphylococcus epidermidis, Pseudomonas aeruginosa, Staphylococcus aureus, Klebsiella pneumoniae are the main pathogens of pulmonary infection. Conclusions Stroke complicated with lower respiratory tract infection is related to many factors. To avoid the predisposing factors and rational use of antibiotics are the key measures to prevent and control infection.