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Objective To explore the risk factors and prognosis of pulmonary infection in patients with acute cerebral infarction.Methods From May 2015 to October 2017,the clinical data of 236 patients with acute cerebral infarction in the First People's Hospital of Jinzhong were studied.The patients were divided into infection group (36 cases) and uninfected group (200 cases) according to whether or not the infection occurs.The clinical data and prognosis were compared between the two groups for half a year.Results The age,disturbance of consciousness,difficulty swallowing,invasive operation,large area cerebral infarction between the infected group and uninfected group had statistically significant differences (t =11.093,x2 =83.388,69.925,43.274,151.345,all P ＜ 0.05).Logistic regression analysis showed that the results of age,consciousness disorder,dysphagia,invasive operation and massive cerebral infarction all had statistically significant differences (all P ＜ 0.05).In the infected group,the length of hospitalization[(23.24 ± 5.61) d] and the cost of hospitalization[(15 239.24 ± 3 522.60) CNY] were significantly higher than those in the uninfected group [(15.65 ± 2.35) d,(9687.24 ± 2215.78) C NY] (t =13.671,12.486,all P ＜ 0.05).After treatment for 6 months,the neural function defect scale of the infection group [(24.26 ± 2.12) points] was significantly higher than that of the uninfected group [(16.24 ± 2.23) points],and the daily life activities ability score of the infection group[(70.12 ± 2.81) points] was significantly lower than that of the uninfected group[(79.24 ±3.25) points],the differences were statistically significant between the two groups (t =20.009,15.800,all P ＜0.05).Conclusion There are many risk factors of pulmonary infection in patients with acute cerebral infarction,such as advanced age,invasive operation,disturbance of consciousness,dysphagia,large area cerebral infarction and so on.The prognosis of patients with acute cerebral infarction complicated with pulmonary infection is poor.
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Objective To analyze the efficacy and safety of amiodarone in the treatment of patients with tachyarrhythmia in emergency department.Methods The clinical data of 112 patients with emergency tachyarrhythmia admitted to the Emergency Department of the First People's Hospital of Jinzhong from March 2017 to March 2018 were analyzed.According to the different treatment plans applied,the patients were divided into two groups,with 56 patients in each group.The control group was given routine emergency treatment,and the observation group was treated with routine emergency treatment and amiodarone.The efficacy,blood pressure,heart rate and safety in the two groups were compared.Results The total effective rate in the observation group was 91.07％,which was higher than that in the control group(69.64％) (x2 =8.145,P ＜ 0.05).The diastolic blood pressure,systolic blood pressure and heart rate in the observation group were (77.40:±:6.21) mmHg,(124.24 ± 6.15) mmHg and (130.18 ± 6.14) beats/min,respectively,which were lower than those in the control group[(93.47 ± 7.40)mmHg,(140.60 ± 7.48)mmHg and (150.35 ± 12.32) bests/main] (x2 =8.145,t =12.448,12.642,10.966,all P ＜ 0.05).The total incidence rate of adverse reactions in the observation group was 3.57％,which was lower than 19.64％ in the control group (x2 =7.049,P ＜0.05).Conclusion For patients with tachyarrhythimia in the emergency department,the application of amiodarone has significant curative effects and high safety,which can help stabilize their blood pressure,heart rate and improve their conditions,and yet incurs less adverse reactions.Therefore,it is of significant value to be popularized in clinical applications.
ABSTRACT
Objective@#To explore the risk factors and prognosis of pulmonary infection in patients with acute cerebral infarction.@*Methods@#From May 2015 to October 2017, the clinical data of 236 patients with acute cerebral infarction in the First People's Hospital of Jinzhong were studied.The patients were divided into infection group (36 cases) and uninfected group (200 cases) according to whether or not the infection occurs.The clinical data and prognosis were compared between the two groups for half a year.@*Results@#The age, disturbance of consciousness, difficulty swallowing, invasive operation, large area cerebral infarction between the infected group and uninfected group had statistically significant differences (t=11.093, χ2=83.388, 69.925, 43.274, 151.345, all P<0.05). Logistic regression analysis showed that the results of age, consciousness disorder, dysphagia, invasive operation and massive cerebral infarction all had statistically significant differences(all P<0.05). In the infected group, the length of hospitalization[(23.24±5.61)d] and the cost of hospitalization[(15 239.24±3 522.60) CNY]were significantly higher than those in the uninfected group[(15.65±2.35)d, (9687.24±2215.78) CNY](t=13.671, 12.486, all P<0.05). After treatment for 6 months, the neural function defect scale of the infection group[(24.26±2.12)points] was significantly higher than that of the uninfected group[(16.24±2.23)points], and the daily life activities ability score of the infection group[(70.12±2.81)points] was significantly lower than that of the uninfected group[(79.24±3.25) points], the differences were statistically significant between the two groups(t=20.009, 15.800, all P<0.05).@*Conclusion@#There are many risk factors of pulmonary infection in patients with acute cerebral infarction, such as advanced age, invasive operation, disturbance of consciousness, dysphagia, large area cerebral infarction and so on.The prognosis of patients with acute cerebral infarction complicated with pulmonary infection is poor.