[1]殷小焦,高 云,王健翔.脑卒中机械取栓术后肺部感染发生率及危险因素的系统评价[J].介入放射学杂志,2025,34(04):407-413.[doi:10.3969/j.issn.1008-794X.2025.04.013]
　YIN Xiaojiao,GAO Yun,WANG Jianxiang..Systematic evaluation of the incidence and risk factors of pulmonary infection occurring after mechanical thrombectomy for ischemic stroke[J].journal interventional radiology,2025,34(04):407-413.[doi:10.3969/j.issn.1008-794X.2025.04.013]
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脑卒中机械取栓术后肺部感染发生率及危险因素的系统评价()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
34
期数:
2025年04
页码:
407-413
栏目:
临床研究
出版日期:
2025-04-23

文章信息/Info

Title:
Systematic evaluation of the incidence and risk factors of pulmonary infection occurring after mechanical thrombectomy for ischemic stroke
文章编号:
1008-794X(2025)-004-0407-07
作者:
殷小焦;  高 云;  王健翔
650000 云南昆明 昆明市第一人民医院
Author(s):
YIN Xiaojiao; GAO Yun; WANG Jianxiang.
Kunming Municipal First People's Hospital,Kunming,Yunnan Province 650000,China
关键词:
急性缺血性脑卒中;  机械取栓;  肺部感染;  危险因素;  系统评价
分类号:
R743.33
DOI:
10.3969/j.issn.1008-794X.2025.04.013
文献标志码:
B
摘要:
目的 对急性缺血性脑卒中(AIS)行机械取栓术后患者发生肺部感染的发病率及危险因素进行系统评价及Meta分析。方法 由两位研究者独立使用计算机检索PubMed、Web of Science、Embase、Cochrane Library、中国知网、万方数据知识服务平台和维普网数据库中关于AIS机械取栓术后患者发生肺部感染的病例对照研究、队列研究等研究类型文献。检索时限为建库至2023年12月。运用STATA 16.0软件对所提取文献进行Meta分析。结果 共纳入10篇文献,总计样本量6 149例,发生肺部感染2 076例。Meta分析结果显示:AIS机械取栓术后患者肺部感染发生率纳入研究异质性较大(I2=97.87%,P<0.001),基于随机效应得出其肺部感染的发生率为31.8%; 术后发生肺部感染的危险因素为合并心房颤动(OR=1.33,95%CI:1.10～1.6,P=0.004)、吞咽困难(OR=3.83,95%CI:2.43～6.05,P<0.001)、NIHSS评分较高(OR=1.43,95%CI:1.05～1.94,P=0.023)、意识障碍(OR=2.29,95%CI:1.38～3.81,P<0.001)、术中镇静药使用(OR=3.21,95%CI:2.91～3.54,P<0.001)。结论 现有证据表明,AIS机械取栓术后患者年龄≥60岁、心房颤动、吞咽困难、意识障碍、NIHSS评分较高、术中使用镇静药是发生肺部感染危险因素。在临床实践中应重视这些危险因素,并将其纳入术后患者的综合评估和干预策略中,以降低肺部感染的发生率。

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(收稿日期:2024-04-07)
(本文编辑:茹 实)

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通信作者: 高 云 E-mail:1903571661@qq.com
更新日期/Last Update: 2025-04-25