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首页> 外文期刊>Journal of International Medical Research >Risk Factors for Developing Pneumonia in Patients with Diabetes Mellitus following Acute Ischaemic Stroke
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Risk Factors for Developing Pneumonia in Patients with Diabetes Mellitus following Acute Ischaemic Stroke

机译:急性缺血性中风后糖尿病患者发生肺炎的危险因素

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OBJECTIVES: To evaluate markers of infection and identify risk factors for the development of pneumonia following acute ischaemic stroke in patients with diabetes mellitus. METHODS: Patients with diabetes mellitus (n = 106) who were hospitalized after acute ischaemic stroke with (n = 32) or without (n = 74) pneumonia at admission were included in the study. Levels of C-reactive protein (CRP) and interleukin-6 (IL-6), white blood cell (WBC) count, mean body temperature and severity of stroke on the National Institutes of Health Stroke Scale were measured at the time of admission. The degree of disability according to the modified Rankin Scale was assessed after 30 days. RESULTS: Raised levels of IL-6 and CRP, older age, more severe stroke, longer duration of hospitalization and dysphagia were significantly associated with the development of pneumonia. Patients with pneumonia had significantly worse outcomes compared with nonpneumonia patients after 1 month. Raised WBC count and mean body temperature were not significant predictors of pneumonia. CONCLUSIONS: Markers of infection, more severe ischaemic stroke, dysphagia and older age may help in predicting the occurrence of pneumonia at stroke onset.
机译:目的:评估糖尿病患者急性缺血性卒中后感染的标志物并确定发生肺炎的危险因素。方法:研究纳入了急性缺血性卒中后入院时(n = 32)或没有(n = 74)肺炎住院的糖尿病患者(n = 106)。在入院时测量了美国国立卫生研究院卒中量表上的C反应蛋白(CRP)和白细胞介素6(IL-6),白细胞(WBC)计数,平均体温和中风严重程度。 30天后根据改良的兰金量表评估残疾程度。结果:IL-6和CRP水平升高,年龄较大,中风加剧,住院时间延长和吞咽困难与肺炎的发生密切相关。 1个月后,与非肺炎患者相比,肺炎患者的预后明显更差。升高的WBC计数和平均体温并不是肺炎的重要预测指标。结论:感染的标志,更严重的缺血性中风,吞咽困难和老年人可能有助于预测中风发作时肺炎的发生。

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