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目的:观察急性卒中后肺炎对卒中近期预后的影响,为临床工作提供参考。方法:选择2008年2月—2011年1月收治的急性脑卒中患者135例,按照卒中后是否发生肺炎分为两组。对照组75例,未发生肺炎;观察组60例,发生肺炎。出院后随访半年,观察并比较两组患者卒中近期预后的差异。结果:与对照组比较,观察组住院时间明显较长;生活质量明显较低,差异均具有统计学意义(P<0.05)。随访期间患者死亡率比较,观察组明显高于对照组,差异具有统计学意义(P<0.05)。结论:急性脑卒中后发生肺炎对患者预后产生不良影响,在临床工作中应注意避免。
Objective: To observe the effect of acute post-stroke pneumonia on the short-term prognosis of stroke and provide a reference for clinical work. Methods: A total of 135 acute stroke patients admitted from February 2008 to January 2011 were divided into two groups according to whether pneumonia occurred after stroke. Control group, 75 cases, no pneumonia; observation group, 60 cases of pneumonia. Follow-up after discharge for six months, observed and compared the two groups of patients with short-term prognosis differences. Results: Compared with the control group, the length of stay in the observation group was significantly longer; the quality of life was significantly lower, the differences were statistically significant (P <0.05). The mortality rate of patients in the follow-up period was significantly higher in the observation group than in the control group, with statistical significance (P <0.05). Conclusions: Pneumonia after acute stroke has adverse effect on the prognosis of patients and should be avoided in clinical practice.