本文關鍵詞： 卒中 肺炎 危險因素　出處：《中華疾病控制雜志》2014年09期 　論文類型：期刊論文

【摘要】：目的探討急性腦卒中患者肺炎發(fā)生的危險因素,評價A2DS2評分對卒中后肺炎預測的準確程度。方法收集418例急性腦卒中患者資料分別應用單因素及多因素Logistic回歸分析卒中后肺炎發(fā)生的危險因素。應用受試者工作特征(receiver operating characteristic,ROC)曲線評價A2DS2評分對卒中后肺炎診斷的準確性。結果卒中后肺炎發(fā)生率為23.92%。其中高齡、男性、吸煙史、吞咽困難、肺部基礎疾病史、應用質子泵抑制劑或H2受體阻斷劑、NIHSS評分中5～15分及≥16分以上、房顫、留置胃管是卒中后肺炎發(fā)生的獨立危險因素(均有P0.05)。ROC曲線結果分析,曲線下面積為0.888,在評分為5分時其正確指數最高。結論高齡、男性、吸煙史、吞咽困難、NIHSS評分中≥5及以上、留置胃管等是卒中后肺炎發(fā)生的獨立危險因素。A2DS2評分可很好用于卒中后肺炎發(fā)生的預測,對于指導卒中后肺炎防治有重要意義。
[Abstract]:Objective to investigate the risk factors of pneumonia in patients with acute stroke. Objective to evaluate the accuracy of A2DS2 score in predicting poststroke pneumonia. Methods data of 418 patients with acute stroke were analyzed by univariate and multivariate Logistic regression analysis. The accuracy of A _ 2DS _ 2 score in the diagnosis of post-stroke pneumonia was evaluated by receiver operating characteristic roc curve. Results the incidence of post-stroke pneumonia was 23.92. Male, smoking history, dysphagia, history of pulmonary underlying diseases, Atrial fibrillation, Atrial fibrillation with proton pump inhibitor or H 2 receptor blocker or NIHSS score of 5 ~ 15 and 鈮，

本文編號：1502196