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[1]梁章荣,梁伟伟,周 妙,等.急性脑梗死并发吸入性肺炎的危险因素及预后分析[J].中华肺部疾病杂志,2024,(02):268-271.[doi:10.3877/cma.j.issn.1674-6902.2024.02.020]
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急性脑梗死并发吸入性肺炎的危险因素及预后分析(PDF)

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

卷:
期数:
2024年02期
页码:
268-271
栏目:
临床研究
出版日期:
2024-04-20

文章信息/Info

Title:
-
作者:
梁章荣; 梁伟伟; 周 妙; 黄尚明; 雷俊娜; 刘亚丽; 李旷怡; 张英俭
528000 佛山,佛山市中医院急诊科
Author(s):
-
关键词:
急性脑梗死;  吸入性肺炎;  影响因素;  预后
Keywords:
-
分类号:
R563
DOI:
10.3877/cma.j.issn.1674-6902.2024.02.020
摘要:
目的 分析急性脑梗死并发吸入性肺炎的危险因素及预测预后的意义。 方法 选择2021年1月至2023年11月我院收治的96例急性脑梗死患者为对象,并发吸入性肺炎41例为观察组,未并发肺炎55例为对照组。收集患者临床资料,采用Logistic回归分析急性脑梗死并发吸入性肺炎的危险因素,分析预后。 结果 多因素Logistic回归分析显示,年龄(OR=1.119,95%CI:1.029～1.217,P=0.009)、TACI与POCI分型(OR=0.026,95%CI:0.001～1.065,P=0.048)、NIHSS评分(OR=9.231,95%CI:4.110～20.731,P=0.000)及C反应蛋白(C-reactive protein, CRP)水平(OR=2.660,95%CI:1.215～5.824,P=0.014)是急性脑梗死并发吸入性肺炎的危险因素; NIHSS评分(OR=8.109,95%CI:1.788～36.773,P=0.007)、CRP(OR=1.434,95%CI:1.079～1.905,P=0.013)、中性粒细胞-淋巴细胞比值(neutrophil-lymphocyte ratio, NLR)(OR=3.248,95%CI:1.103～9.560,P=0.032)、肌酐水平(OR=1.304,95%CI:1.040～1.636,P=0.022)是急性脑梗死并发吸入性肺炎预后不佳的危险因素; CRP预测急性脑梗死并发吸入性肺炎预后不佳风险AUC为0.922,敏感性为83.33%,特异性为93.98%。 结论 年龄、TACI与POCI分型、NIHSS评分及CRP水平是急性脑梗死并发吸入性肺炎的危险因素,NIHSS评分、CRP、NLR、肌酐水平等对预测急性脑梗死并发吸入性肺炎预后具有意义。
Abstract:
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备注/Memo

备注/Memo:
基金项目: 佛山市“十四五”医学重点专科建设项目(FSGSP145028) 通信作者: 梁章荣, Email: 2021098171@qq.com
更新日期/Last Update: 2024-04-20