Pneumonia in stroke patients: A retrospective study
Pneumonia in stroke patients: A retrospective study
复制标题
DOI：
10.1007/s004550010001
复制
发表时间：
2000-03-01
期刊：
影响因子：
2.6
通讯作者：
Logemann, JA
中科院分区：
文献类型：
--
作者：
Ding, RY;Logemann, JA
这是一项回顾性研究，对1994年6月至1997年6月间378例连续卒中患者进行口咽吞咽的显像研究。曾接受放射治疗、脑肿瘤、脑外科手术、头部和/或脊髓创伤、口咽疾病或手术或除中风外的其他神经系统疾病的患者被排除在研究之外。患者被分为两组：一组有肺炎，一组没有肺炎。肺炎组101例，非肺炎组277例。在肺炎组中，患者被分为急性肺炎组（中风后6个月内的肺炎）和慢性肺炎组（中风后6个月以上的肺炎）。研究中检查的变量包括患者的病史和影像研究的结果。使用Pearson卡方分析来确定肺炎和非肺炎患者组以及急性和慢性肺炎患者组之间有显著差异的变量。结果显示，与未发生肺炎的脑卒中患者相比，发生肺炎的脑卒中患者在其病史中有明显更高的多部位和未明确病变性脑卒中、慢性气道疾病和误吸的发生率。在肺炎组中，急性肺炎组的病史中高血压和糖尿病的发生率明显较高，在x线影像研究中发现吸痰和喉抬高降低的发生率明显较高。研究中48%到55%的中风患者有吸入性。多发性中风、脑干中风或皮层下中风患者的误吸频率最高。
This is a retrospective study of 378 consecutive stroke patients who were referred between June 1994 and June 1997 for videofluorographic study of oropharyngeal swallow. Patients who had radiation therapy, brain tumor, brain surgery, head and/or spinal cord trauma, oral-pharyngeal disease or surgery, or other neurologic diseases in addition to the stroke were excluded from the study. Patients were assigned to two groups: one with pneumonia and one without pneumonia. One hundred one patients were included in the pneumonia group, and 277 patients were included in the nonpneumonia group. Within the pneumonia group, patients were assigned to an acute pneumonia group (pneumonia within 6 months poststroke) and a chronic pneumonia group (pneumonia more than 6 months poststroke). Variables examined in the study included patients' medical history and the findings from the videofluorographic studies. Pearson chi-square analysis was used to identify those variables that were significantly different between the pneumonia and nonpneumonia patient groups and between the acute and chronic pneumonia groups. Results showed that stroke patients who developed pneumonia had a significantly higher incidence of multiple-location and unspecified lesion strokes, chronic airway disease in their medical history, and aspiration during the videofluorographic studies when compared with patients who did not develop pneumonia. Within the pneumonia group, the acute pneumonia group was found to have a significantly higher incidence of hypertension and diabetes in their medical history and a significantly higher incidence of aspiration and reduced laryngeal elevation during the videofluorographic studies. Between 48% and 55% of all stroke patients in the study aspirated. Patients who suffered multiple strokes, brainstem stroke, or subcortical stroke had the greatest frequency of aspiration.