了解确定的和可能的中风相关肺炎:风险因素和临床结果
Munevver Ece Guven1, Ulgen Yalaz Tekan2, Betül Zehra Pirdal3
1University of Health Sciences Trabzon Kanuni Training and Research Hospital, Department of Pain Medicine, Trabzon, Turkey.
Clinical neurology and neurosurgery
|February 9, 2025
概括
脑卒中相关性肺炎 (SAP) 影响18.2%的中风患者,最终的SAP与较差的结果有关. 淋巴缺血和较高的白细胞计数与增加的肺炎风险和严重程度有关.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 脑卒中相关性肺炎 (SAP) 是一种常见的并发症,影响患者的康复.
- 识别风险因素和了解炎症标志物的影响对于管理SAP至关重要.
研究的目的:
- 为了识别SAP的风险因素.
- 调查SAP对功能结果的影响.
- 检查白细胞 (WBC) 计数,C反应蛋白 (CRP) 和淋巴细胞计数在SAP发育中的作用.
主要方法:
- 在2018年9月至2019年6月期间入院的481名成人中风患者的回顾性研究.
- 通过CT或MRI确认中风诊断;使用ICD-10和Bamford分类进行分类.
- 记录了WBC,CRP,NIHSS和mRS以评估中风严重程度和功能结果.
主要成果:
- 18.2%的患者患上了肺炎 (78 SAP, 4 HAP).
- 确定的SAP (d-SAP) 发生在11%的患者中,与较高的中风严重程度 (NIHSS) 和较差的出院结果有关.
- 淋巴缺血与肺炎的频率,病变大小和更糟糕的功能结果相关.
结论:
- 绝对的SAP与中风严重程度增加,心房动,较低的射出分数和高的白细胞计数有关.
- 排放时功能不佳的结果与最终的SAP有很强的关联.
- 淋巴缺血是肺炎和中风后不良功能结果的重要预测因素.
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