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目的:探讨高血压性脑卒中患者并院内获得性肺炎(HAP)的危险因素及防治措施,以改善其预后。方法:回顾性分析2011年1月至2013年6月收治的高血压性脑卒中并HAP患者68例的临床资料。结果:高血压性脑卒中并HAP的发病率为19.2%(68/354);高龄、免疫力低下、吸烟史、基础疾病、意识障碍、吞咽障碍、住院时间长、侵袭性操作、滥用抗生素、应用抑酸保护胃黏膜药物及糖皮质激素是高血压性脑卒中并HAP的危险因素;本组68例HAP患者中,治愈35例,好转19例,死亡14例。结论:高血压性脑卒中并HAP存在多种危险因素,积极采取综合防范措施、合理使用抗生素、加强支持治疗和护理,可减少其发生率及提高治愈率。
Objective: To investigate the risk factors and prevention and treatment of hospital acquired pneumonia (HAP) in patients with hypertensive stroke and to improve their prognosis. Methods: Clinical data of 68 patients with hypertensive stroke and HAP admitted to our hospital from January 2011 to June 2013 were retrospectively analyzed. Results: The incidence of HAP in hypertensive stroke was 19.2% (68/354). Aging, low immunity, smoking history, underlying diseases, disturbance of consciousness, swallowing disorders, long hospital stay, invasive procedures, abuse of antibiotics, The application of acid-suppressing gastric mucosal drugs and glucocorticoid were risk factors of hypertension stroke and HAP. Of the 68 HAP patients in this group, 35 were cured, 19 were improved and 14 died. Conclusion: Hypertensive stroke and HAP have multiple risk factors, and take comprehensive precautionary measures, rational use of antibiotics, and supportive care and care to reduce the incidence and improve the cure rate.