冯佳英 何超 俞许超 张如

    [摘要] 目的 探討高血压脑出血(HICH)患者术后肺炎发生率及其相关影响因素，并提出防治措施。方法 选取2018年6月至2020年12月浙江省诸暨市人民医院收治的239例HICH手术患者，依据其住院期间是否发生肺炎分为肺炎组(n=63)和非肺炎组(n=176);比较两组患者的年龄、性别、体质量指数、冠心病、糖尿病、肺部基础疾病、意识障碍、吞咽困难、血肿体积、NIHSS评分、低蛋白血症、PCT、鼻饲治疗、侵入性气道操作、应用糖皮质激素、应用抗生素、使用抑酸制剂等;然后采用逐步logistic回归法进行危险因素筛选。 结果 239例HICH患者术后肺炎发生率26.36%(63/239);多因素logistic回归结果显示，影响HICH患者术后发生肺炎的危险因素有高龄(OR=3.025)、糖尿病(OR=3.725)、肺部基础疾病(OR=2.883)、吞咽困难(OR=4.540)、入院NIHSS评分(OR=3.476)、低蛋白血症(OR=2.989)、PCT(OR=5.254)、侵入性气道操作(OR=3.896)。结论 HICH患者术后肺炎发生率较高，应引起高度重视，针对以上高危因素，早期实施防治措施，降低肺炎发生率，改善HICH患者的预后。

    [关键词] 高血压;脑出血;肺炎;影响因素

    [中图分类号] R781? ? ? ? ?[文献标识码] B? ? ? ? ?[文章编号] 1673-9701(2022)09-0100-03

    Analysis of influencing factors of postoperative pneumonia in patients with hypertensive intracerebral hemorrhage

    FENG Jiaying? ?HE Chao? YU Xuchao? ?ZHANG Ru

    Intensive Care Unit， Zhuji People’s Hospital in Zhejiang Province， Zhuji? ?311800， China

    [Abstract] Objective To explore the incidence of postoperative pneumonia in patients with hypertensive intracerebral hemorrhage (HICH) and its related influencing factors， and put forward preventive measures. Methods A total of 239 patients undergoing HICH operation in Zhuji People’s Hospital in Zhejiang Province from June 2018 to December 2020 were selected and divided into the pneumonia group (n=63) and the non-pneumonia group (n=176) according to whether pneumonia occurred during hospitalization. The age ......