脑卒中后吞咽障碍患者吸入性肺炎的影响因素分析及预测模型构建

王甜梦; 曾泓辑; 李彩霞; 王鸿雁; 杨旭东; 王进菊; 曾西

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脑卒中后吞咽障碍患者吸入性肺炎的影响因素分析及预测模型构建

更新时间：2026-11-05

- 脑卒中后吞咽障碍患者吸入性肺炎的影响因素分析及预测模型构建
- Vol. 46, Issue 7, Pages: 618-623(2024)
- 作者机构：
  
  1. 郑州大学第一附属医院康复医学科,郑州
  2. 郑州大学公共卫生学院,郑州
  3. 乌海市蒙医中医医院康复中心,乌海
  4. 四平一正中医医院康复医学科
  5. 信阳市中心医院康复医学科,信阳
  6. 国家卫生健康委脑血管病防治重点实验室(共建),郑州
- 作者简介：
- 基金信息：
- DOI：
  CLC： R743.3;R563.1
- Published：2024
- 稿件说明：
移动端阅览
王甜梦, 曾泓辑, 李彩霞, et al. 脑卒中后吞咽障碍患者吸入性肺炎的影响因素分析及预测模型构建[J]. 2024, 46(7): 618-623.
DOI：

王甜梦, 曾泓辑, 李彩霞, et al. 脑卒中后吞咽障碍患者吸入性肺炎的影响因素分析及预测模型构建[J]. 2024, 46(7): 618-623. DOI：

摘要

目的分析脑卒中后吞咽障碍患者发生吸入性肺炎(AP)的影响因素并构建预测模型。方法采用回顾性调查方法

共纳入符合标准的脑卒中后吞咽障碍患者148例

根据住院期间是否发生AP将其分为AP组和非AP组

收集入选患者的一般人口学信息、临床资料等进行单因素分析和多因素Logistic回归分析

并构建列线图模型

同时采用受试者工作特征(ROC)曲线分析各相关因素及列线图模型对AP的预测价值。结果 AP组共有患者46例

非AP组共有患者102例

AP发生率为31.08%;通过多因素Logistic回归分析发现

年龄、Barthel指数评分、洼田饮水试验评级、营养支持方式、中性粒细胞/淋巴细胞比值(NLR)是脑卒中后吞咽障碍患者发生AP的重要影响因素(P<0.05);通过分析ROC曲线发现

年龄、洼田饮水试验评级、营养支持方式、NLR、Barthel指数评分及列线图模型预测AP的曲线下面积(AUC)分别为0.598、0.651、0.676、0.723、0.775、0.902

上述指标预测AP的灵敏度及特异度分别为91.30%和31.40%、97.80%和32.40%、78.30%和56.90%、67.40%和71.60%、82.60%和61.80%、84.80%和80.40%。结论年龄、洼田饮水试验评级、营养支持方式、NLR、Barthel指数评分均是影响脑卒中后吞咽障碍患者发生AP的重要因素

采用列线图模型预测AP的能力显著优于上述各因素单独预测。

Abstract

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