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目的:对卒中相关性肺炎(SAP)患者的危险因素和预测因子进行研究分析。方法:选择2013年1月—2014年12月收治的125例脑卒中患者作为研究对象,对其临床资料进行分析。结果:卒中相关性肺炎独立危险因素主要包括年龄>70岁、糖尿病、脑卒中史、出血性脑卒中、缺血性脑卒中、鼻饲、吞咽困难、昏迷、质子泵抑制剂、预防性应用抗生素、气管侵入性操作等;血清降钙素原(PCT)、C-反应蛋白(CRP)和临床肺部感染评分(CPIS)可以作为SAP的预测因子。结论:在对卒中相关性肺炎患者进行治疗的过程中,尽量避免侵入性操作;卒中相关性肺炎的预测因子为患者入院时的C反应蛋白、血清降钙素原以及临床肺部感染评分。
Objective: To study the risk factors and predictors of stroke-associated pneumonia (SAP). Methods: A total of 125 stroke patients admitted from January 2013 to December 2014 were selected as the study subjects, and their clinical data were analyzed. RESULTS: Independent risk factors for stroke-associated pneumonia included age 70 years, history of diabetes, stroke, hemorrhagic stroke, ischemic stroke, nasal feeding, dysphagia, coma, proton pump inhibitors, prophylactic antibiotics, Tracheal invasive procedures, etc .; serum procalcitonin (PCT), C-reactive protein (CRP) and clinical lung infection score (CPIS) can be used as a predictor of SAP. Conclusions: In the treatment of stroke-associated pneumonia, invasive procedures should be avoided to the greatest extent. The predictors of stroke-associated pneumonia are C-reactive protein, procalcitonin, and clinical lung infection scores at admission.