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目的:探析急性脑梗死的患者在血压和卒中相关性肺炎(SAP)当中所具有的相关性。方法:选取2010年5月-2013年10月汕尾市红海湾经济开发区人民医院收治的164例患急性脑梗死患者,根据血压状况将患者分成正常血压组、轻度高血压组、中度高血压组及重度高血压组,分别为21例、19例、33例及27例;根据有无是否伴发SAP的发生状况分成SAP组与非SAP组,分别为25例和39例。对比各组患者的白蛋白、血清C反应蛋白(CRP)、外周血的白细胞数(WBC)、收缩压(SBP)以及吞咽障碍的发生率。结果:不同血压组别的各项指标比较,差异有统计学意义(P<0.05);SAP组和非SAP组的各项指标比较,差异有统计学意义(P<0.05);和正常血压组患者相比较,重度高血压患者出现SAP的概率与风险相对较大,差异有统计学意义(P<0.05)。结论:重度高血压是引发急性脑梗死的患者出现SAP的重要危险因子。
Objective: To investigate the correlation between blood pressure and stroke-associated pneumonia (SAP) in patients with acute cerebral infarction. Methods: From May 2010 to October 2013, 164 patients with acute cerebral infarction admitted to People’s Hospital of Honghai Bay Economic Development Zone, Shanwei City were divided into normotensive group, mild hypertension group, moderate high 21 cases, 19 cases, 33 cases and 27 cases were divided into SAP group and non-SAP group according to the presence or absence of SAP, which were 25 cases and 39 cases respectively. The albumin, serum C-reactive protein (CRP), peripheral white blood cell count (WBC), systolic blood pressure (SBP) and the incidence of dysphagia were compared between groups. Results: The indexes in different blood pressure groups were significantly different (P <0.05). The indexes in SAP group and non-SAP group were significantly different (P <0.05), and those in normal blood pressure group Compared with patients, the incidence and severity of SAP in patients with severe hypertension were relatively large (P <0.05). Conclusion: Severe hypertension is an important risk factor of SAP in patients with acute cerebral infarction.