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[1]朱德坤,陈 宇,王 艳,等.脑梗死后吞咽障碍肺部感染患者病原菌特点分析[J].中华肺部疾病杂志,2021,(05):602-604.[doi:10.3877/cma.j.issn.1674-6902.2021.05.013]
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脑梗死后吞咽障碍肺部感染患者病原菌特点分析(PDF)

《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2021年05期
页码:
602-604
栏目:
临床研究
出版日期:
2021-10-20

文章信息/Info

Title:
-
作者:
朱德坤; 陈 宇; 王 艳; 陈 枫
832000 新疆,石河子大学医学院第三附属医院
Author(s):
-
关键词:
脑梗死;  吞咽障碍;  肺部感染;  病原菌分布
Keywords:
-
分类号:
R563
DOI:
10.3877/cma.j.issn.1674-6902.2021.05.013
摘要:
目的 分析脑梗死后吞咽障碍肺部感染患者病原菌特点。方法 选取2018年2月至2020年6月我院收治的58例脑梗死后吞咽障碍患者为对象,统计患者入院治疗1个月后,肺部感染发生情况,依据是否发生肺部感染分为感染组22例和未感染组36例。采集肺部感染患者痰液样本并分析其病原菌分布特点。对比感染组和未感染组临床资料。Logistic多因素回归分析影响脑梗死后吞咽障碍患者发生肺部感染的因素。结果 脑梗死后吞咽障碍患者肺部感染的发生率为37.93%(22/58)。22例发生肺部感染患者,共分离出35株菌株,革兰阴性菌、革兰阳性菌及真菌分别占病原菌总株数的51.43%、37.14%、11.43%,耐药率分别为38.89%、38.46%、25.00%。感染组住院时间、卧床时间、意识障碍占比、气管插管占比、使用呼吸机占比、重度脑梗死占比、WBC及NIHSS评分均显著高于未感染组(P<0.05),感染组吞咽功能评估量表(GUSS)评分则显著低于未感染组(P<0.05)。Logistic回归分析分析结果显示,重度脑梗死、GUSS评分、WBC、NIHSS评分均为脑梗死后吞咽障碍患者发生肺部感染的影响因素(OR=3.377、2.793、3.904,P<0.05)。结论 脑梗死后吞咽障碍患者肺部感染患者病原菌主要以肺炎克雷伯菌、铜绿假单胞菌为主; 脑梗死、GUSS评分、WBC、NIHSS评分均为脑梗死后吞咽障碍发生肺部感染的影响因素。
Abstract:
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备注/Memo

备注/Memo:
基金项目: 八师石河子市重点领域科技攻关项目资助(2019ZH10)
通信作者: 朱德坤, Email: 351714293@qq.com
更新日期/Last Update: 2021-10-20