摘要
目的:探讨卒中相关性肺炎(SAP)患者中医症候分布特点及相关危险因素。方法:选取2017年4月~2018年5月安徽中医药大学第二附属医院脑病六科收治的脑卒中患者128例为研究对象,根据患者是否出现肺炎分为SAP组(n=63)和非SAP组(n=65),分析感染组患者的中医症候分布特点,进一步探讨卒中相关性肺炎的相关危险因素。结果:63例SAP患者的中医症候分布以痰热壅肺、痰湿阻肺、肺脾气虚为主,分别有18例(28.57%)、14例(22.22%)、13例(20.63%),其中痰热壅肺、痰湿阻肺两种症候患者还存在合并兼瘀血阻络证;Logistic回归分析发现,年龄>60岁、使用脱水剂、糖尿病史、卒中史、应用鼻饲、吞咽障碍、吸烟史、肺基础疾病史、意识障碍、使用机械通气是导致SAP发生的危险因素。结论:SAP患者中医症候主要表现为痰热壅肺,其次为痰湿阻肺、肺脾气虚、气阴两虚,另外年龄>60岁、使用脱水剂、糖尿病史、卒中史、应用鼻饲、吞咽障碍、吸烟史、肺基础疾病史、意识障碍、使用机械通气是SAP发病的危险因素,提示临床需重视以上因素,并给予针对性干预性措施。
Objective:To explore the distribution characteristics of TCM symptoms and related risk factors in patients with stroke-associated pneumonia(SAP).Methods:128stroke patients admitted to the No.6Department of Encephalopathy,the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine between April 2017and May 2018were selected as the study subjects.They were divided into SAP group(n=63)and non-SAP group(n=65)according to the occurrence of pneumonia.Distribution characteristics of TCM symptoms in the infected patients were analyzed to explore the relevant risk factors of SAP.Results:TCM symptoms in the 63patients with SAP mainly included phlegm-heat obstructing lung,phlegm-damp obstructing lung and lung-spleen Qi deficiency.There were 18cases(28.57%),14cases(22.22%)and 13cases(20.63%),respectively.Besides,patients with phlegm-heat obstructing lung and phlegm-damp obstructing lung also had static blood obstructing collaterals syndrome.Logistic regression analysis found that age>60years old,use of dehydrating agents,history of diabetes,history of stroke,application of nasal feeding,swallowing disorders,smoking history,history of underlying lung diseases,disturbance of consciousness and use of mechanical ventilation were risk factors for SAP.Conclusion:The TCM symptoms in patients with SAP mainly manifested asphlegm-heat obstructing lung,followed by phlegm-damp obstructing lung,lung-spleen Qi deficiency and Qi-Yin deficiency.Age>60years old,use of dehydrating agents,history of diabetes,history of stroke,application of nasal feeding,swallowing disorders,smoking history,history of underlying lung diseases,disturbance of consciousness and use of mechanical ventilation were risk factors for SAP,suggesting that the above factors should be paid attention to in clinical practice and targeted intervention measures should be taken.
作者
张静波
胡徽星
梁发俊
王保国
尹苗苗
王震
ZHANG Jingbo;HU Huixing;LIANG Fajun(Department of Encephalology,the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicineb,Hefei Anhui 230036,China)
出处
《四川中医》
2020年第8期59-62,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
安徽省高校自然科学研究重点项目(编号:KJ2017A278)。
关键词
卒中相关性肺炎
中医症候分布特点
危险因素
Stroke-associated pneumonia
Distribution characteristics of TCM symptoms
Risk factors
