出血性卒中合并卒中相关性肺炎的研究进展
Research Progress of Hemorrhagic Stroke Combined with Stroke-Associated Pneumonia
DOI: 10.12677/acm.2024.1451691, PDF,    科研立项经费支持
作者: 刘 松, 牟浩亚:成都市郫都区中医医院重症医学科,四川 成都
关键词: 出血性卒中卒中相关性肺炎综述Hemorrhagic Stroke Stroke-Associated Pneumonia (SAP) Review
摘要: 出血性卒中具有高发病率、高病死率、高致残率的临床特点。卒中相关性肺炎(Stroke-Associated Pneumonia, SAP)是出血性中风患者临床上常见的并发症之一,具有影响神经缺损恢复,延长其住院时间,提高患者死亡风险的特点。相较其他肺炎,SAP的发病机制、危险因素及治疗方案具有独特特点。临床上对SAP的研究虽取得一定进展,但仍存在进步空间,本文将对SAP的中西医研究进行综述。
Abstract: Hemorrhagic stroke has the clinical characteristics of high incidence, high mortality and high disability rate. Stroke-Associated Pneumonia (SAP) is one of the common complications in patients with hemorrhagic stroke, which has the characteristics of affecting the recovery of neurological defects, prolonging the length of hospital stay, and increasing the risk of death. Compared with other pneumonia, SAP has unique characteristics in pathogenesis, risk factors and treatment. Although some progress has been made in the clinical research of SAP, there is still room for progress. This article will review the research of SAP in traditional Chinese and western medicine.
文章引用:刘松, 牟浩亚. 出血性卒中合并卒中相关性肺炎的研究进展[J]. 临床医学进展, 2024, 14(5): 2336-2340. https://doi.org/10.12677/acm.2024.1451691

参考文献

[1] Zhou, M., Wang, H., Zhu, J., et al. (2016) Cause-Specific Mortality for 240 Causes in China during 1990-2013: A Systematic Subnational Analysis for the Global Burden of Disease Study 2013. Lancet, 387, 251-272.
[2] 《中国脑卒中防治报告2021》编写组, 王陇德. 《中国脑卒中防治报告2021》概要[J]. 中国脑血管病杂志, 2023, 20(11): 783-792.
[3] Kishore, A.K., Vail, A., Chamorro, A., et al. (2015) How Is Pneumonia Diagnosed in Clinical Stroke Research? A Systematic Review and Meta-Analysis. Stroke, 46, 1202-1209. [Google Scholar] [CrossRef
[4] 王昆, 李军文, 曾翔, 王兆兰, 郭雅乐. 中国脑卒中患者发生卒中相关性肺炎危险因素的Meta分析[J]. 实用心脑肺血管病杂志, 2024, 32(4): 84-92.
[5] 卒中相关性肺炎诊治中国专家共识组. 卒中相关性肺炎诊治中国专家共识[J]. 中华内科杂志, 2010, 49(12): 1075-1078.
[6] 中国卒中学会急救医学分会, 中华医学会急诊医学分会卒中学组, 中国老年医学学会急诊医学分会, 等. 卒中相关性肺炎诊治中国专家共识(2019更新版) [J]. 中国急救医学, 2019, 39(12): 1135-1143.
[7] de Morais Filho, A.B., de Holanda Rego, T.L., de Lima Mendonça, L., et al. (2021) The Physiopathology of Spontaneous Hemorrhagic Stroke: A Systematic Review. Reviews in the Neurosciences, 32, 631-658. [Google Scholar] [CrossRef] [PubMed]
[8] 常雯茜, 张维平, 张余. 卒中相关性肺炎危险因素与中医证型的相关性分析[J/OL]. 中医临床研究: 1-5.
http://kns.cnki.net/kcms/detail/11.5895.R.20231206.1527.002.html, 2024-04-08
[9] Marvin, S. and Thibeault, S.L. (2021) Predictors of Aspiration and Silent Aspiration in Patients with New Tracheostomy. American Journal of Speech-Language Pathology, 30, 2554-2560. [Google Scholar] [CrossRef
[10] Parikh, N.S., Merkler, A.E. and Iadecola, C. (2020) Inflammation, Autoimmunity, Infection, and Stroke: Epidemiology and Lessons from Therapeutic Intervention. Stroke, 51, 711-718. [Google Scholar] [CrossRef
[11] 陈梦婷, 李晓晖. 全身免疫炎症指数与脑血管疾病相关性研究进展[J]. 中国老年保健医学, 2022, 20(1): 106-109.
[12] ChacOn-Aponte, A.A., DurAn-Vargas, É.A., ArEvalo-Carrillo, J.A., et al. (2022) Brain-Lung Interaction: A Vicious Cycle in Traumatic Brain Injury. Acute and Critical Care, 37, 35-44. [Google Scholar] [CrossRef] [PubMed]
[13] 武陈陈, 李慧敏, 亓新凤, 等. 影响青年人急性脑卒中发生的危险因素分析[J]. 现代预防医学, 2023, 50(22): 4159-4163.
[14] 李丽, 张志涛, 王冬欣, 等. 轻型缺血性脑卒中的危险因素分析[J]. 河北医药, 2022, 44(1): 64-67.
[15] 魏晓兰, 林化松. 抑酸药物对老年卒中患者发生卒中相关性肺炎的影响[J]. 慢性病学杂志, 2019, 20(11): 1702-1704.
[16] 何春艳. 神经科重症监护病房卒中相关性肺炎的危险因素研究[J]. 中国民康医学, 2019, 31(19): 38-39.
[17] Schoevaerdts, D., Agelas, J.P., Ingels, M.G., et al. (2013) Health Outcomes of Older Patients Colonized by Multi-Drug Resistant Bacteria (MDRB): A One-Year Follow-Up Study. Archives of Gerontology and Geriatrics, 56, 231-236. [Google Scholar] [CrossRef] [PubMed]
[18] Winstein, C.J., Stein, J., Arena, R., et al. (2016) Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke, 47, e98-e169. [Google Scholar] [CrossRef
[19] Rmccool, F.D. and Tzelepis, G.E. (1995) Inspiratory Muscle Training in the Patient with Neuromuscular Disease. Physical Therapy, 75, 1006-1014. [Google Scholar] [CrossRef] [PubMed]
[20] 胡宏美, 杨聪, 黎巧玲, 等. 分级肺康复护理方案预防脑卒中相关性肺炎的效果[J]. 护理研究, 2023, 37(21): 3917-3924.
[21] 韩春彦, 赵存, 王兴蕾, 等. 脑卒中相关性肺炎集束化护理Meta分析[J]. 康复学报, 2020, 30(2): 155-161.
[22] 程敬. 脑出血患者卒中相关性肺炎的危险因素、风险预测评分体系和180天功能结局轨迹的研究[D]: [硕士学位论文]. 重庆: 重庆医科大学, 2023.[CrossRef