脑卒中并发肺炎的危险因素及沐舒坦联合抗生素的干预效果.docVIP

精品论文 参考文献 脑卒中并发肺炎的危险因素及沐舒坦联合抗生素的干预效果 长沙县第一人民医院 湖南长沙 410142 【摘 要】目的：观察脑卒中并发肺炎的危险因素，沐舒坦联合抗生素治疗的干预效果。方法：资料回顾性分析本院2015年6月-2016年6月收治脑卒中并发肺炎患者共180例，按照不同治疗方法分为两组，其中研究组90例予沐舒坦联合抗生素治疗，对照组90例予抗生素治疗；分析导致脑卒中并发肺炎的危险因素，观察两组患者的临床疗效情况。结果：老年男性、神经功能缺损严重以及饮食体位护理差需辅助机械通气者，并发肺炎的发生率较高；研究组临床总有效率78.89%显著优于对照组55.56%，二者差异均具统计学意义（P＜0.05）；研究组患者治疗后临床体征消失的时间显著少于对照组患者，二者差异均具统计学意义（P＜0.05）。结论：脑卒中并发肺炎好发于老年男性人群，神经功能缺损严重、饮食体位护理差与患者发病原因有关，脑卒中并发肺炎患者行沐舒坦联合抗生素治疗的临床疗效显著，具临床应用的价值。 【关键词】脑卒中并发肺炎；沐舒坦；抗生素；干预；效果 【Abstract】 objective：to observe the risk factors of stroke complicated by pneumonia，mu comfortable with antibiotic therapy intervention effect. Methods：the data in our hospital were retrospectively analyzed in June 2015 - June 2016，a total of 180 patients with cerebral apoplexy complicated by pneumonia，according to the different treatment methods are divided into two groups，one group 90 cases to soak up the comfortable with antibiotic therapy，the control group 90 cases to antibiotic treatment；Analysis result in a risk factor for stroke complicated by pneumonia，to observe the clinical efficacy of two groups of patients. Results：the elderly men，severe neurologic deficits and poor diet，body position nursing auxiliary mechanical ventilation，the incidence of complicated with pneumonia is higher；Group total effective rate 78.89% to 55.56%，significantly better than the control group the difference have statistical significance（P lt; 0.05）；Group after treatment in patients with clinical symptoms disappear time significantly less than the control group patients，the differences were statistical significance（P lt; 0.05）. Conclusion：cerebral stroke complicated by pneumonia occurs in older men crowd，severe neurologic deficits，poor diet，body position nursing care and the reason of disease of patients，patients with cerebral apoplexy complicated by pneumonia line liquid，comfortable with antibiotic therapy clinical curative effect is distinct，the value of clinical application. 【Key wor