Analysis of risk factors and prognosis of pneumonia in elderly patients of cerebral stroke sequelae period
10.3760/cma.j.issn.1673-4904.2013.31.011
- VernacularTitle:老年脑卒中患者后遗症期反复并发肺炎的危险因素及预后分析
- Author:
Huifang WANG
;
Huimin WANG
- Publication Type:Journal Article
- Keywords:
Stroke;
Pneumonia;
Risk factors;
Prognosis;
Sequelae period
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(31):33-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors and prognosis of pneumonia in elderly patients of cerebral stroke sequelae period.Methods Eighty-eight cases of pneumonia in elderly patients with cerebral stroke sequelae period were selected as stroke group,with non-stroke patients of the same period suffering from pneumonia 1 ∶ 1 matched as control group.The risk factors and prognosis of pneumonia in elderly patients of cerebral stroke sequelae period were analyzed.Results Pneumonia in stroke group was related with hypertension,diabetes,conscious disturbance,bucking or nasogastric feeding,dyscinesia,incision of trachea,multiple organ disfunction syndrome (MODS),hospitalizations,hospital stay and abandon treatment or death (P ＜ 0.05),and not related with smoking,coronary heart disease,kindey dysfunction,malignant tumor,phlegm bacterial culture,hypoxemia and mechanical ventilation was tested by conditioned Logistic regression quantitatively(P＞ 0.05).The independent risk factors for pneumonia in elderly patients of cerebral stroke sequelae period were bucking or nasogastric feeding,and MODS by two-way unconditional Logistic regression.Conclusions Hypertension,diabetes,conscious disturbance,bucking or nasogastric feeding,dyscinesia,incision of trachea,MODS,hospitalizations are risk factors for pneumonia in elderly patients of cerebral stroke sequelae period,and lead to relatively poor prognosis.Three-grade prevention and control of risk factors can improve prognosis.
