较低的峰值呼气流率与中风患者肺炎的风险更高有关
Wenxiu Wu1, Jingjing Lin1, Xuezhen Zhou1
1Department of Rehabilitation Medicine, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang, China.
低峰呼气流 (PEF) 率在中风患者中很常见,在肺炎患者中明显较低. 降低PEF独立预测肺炎的发展,这表明PEF监测有助于预防.
科学领域:
- 神经学 神经学
- 肺部病理学 肺部病理学
- 康复医学 康复医学 康复医学
背景情况:
- 低峰呼气流 (PEF) 在中风患者中普遍存在.
- 以前对中风患者PEF变化的研究样本大小小,限制了概括性.
研究的目的:
- 在患有肺炎和没有肺炎的中风后患者中比较PEF率与健康对照.
- 在中风幸存者中调查PEF和肺炎之间的关联.
主要方法:
- 一项前性观察性研究,涉及809名中风患者.
- 收集了有关人口统计,中风病史,食障碍和PEF率的数据.
- 使用后勤回归来确定可预测肺炎的PEF值.
主要成果:
- 脑卒中患者的PEF率明显低于对照组.
- 肺炎组的PEF显著低于非肺炎组 (P<0.001).
- 年龄较大,PEF (%) 较低和消化不良与较高的肺炎风险相关;AUC为0.857.
结论:
- 与健康对照组和他们自己的预测值相比,中风患者的PEF率较低.
- 降低PEF与康复期间中风后患者的肺炎发展独立相关.
- 低PEF可能预测肺炎,防止PEF下降可能有助于预防肺炎.
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