Risk factors and prognosis of acute cerebral infarction patients complicated with pulmonary infection / 中国基层医药

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,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.