Abstract：Stroke-associated pneumonia (SAP) is a common complication of stroke, and has the characteristics of rapid onset, severe illness, rapid change and poor prognosis, which greatly increase the disability and mortality rates of patients. The patients' body catabolism is improved after stroke onset, hence it is easy to appear nutritional risk as well as malnutrition which can lead to SAP, and SAP can aggravate malnutrition and form a vicious cycle. It is helpful to analyze the nutritional status of elderly patients with stroke through scientific nutritional screening tools and develop reasonable nutritional support in preventing and treating SAP. Nutritional support for elderly SAP should be started as soon as possible, moreover, enteral nutrition is the preferred method. When enteral nutrition cannot meet nutritional requirements, parenteral nutrition should be adopted to improve the patients' prognoses.
[1] 黄兰,王宋平. 卒中相关性肺炎病原学特点及预后影响因素分析[J].中国抗生素杂志,2020,45(10):1092-1096. [2] Chaves ML, Gittins M, Bray B, et al. Variation of stroke-associated pneumonia in stroke units across England and Wales: a registry-based cohort study[J]. Int J Stroke, 2022, 17(2):155-162. [3] 蔡珍飞,李巧,曹丹. 缺血性脑卒中患者膳食-营养情况评价及社区医疗服务利用情况分析[J].实用预防医学,2021,28(10):1237-1240. [4] 戴靖榕,李婕,李燕,等. 老年多病共存住院患者肺部感染影响因素[J].中华医院感染学杂志,2022,32(24):3731-3735. [5] 柏鸽,万洋,曾苗,等. 四川省富顺县农村老年人营养不良及其影响因素调查[J].现代预防医学,2017,44(10):1798-1802. [6] 何岱昆,沈雪婷,王丽娜,等. 老年急性脑梗死患者卒中相关性肺炎的生存率及其预后的影响因素分析[J].老年医学与保健,2023,29(1):25-29. [7] Dai C,Yan D,Xu M,et al. Geriatric nutritional risk index is related to the risk of stroke-associated pneumonia[J]. Brain Behav,2022,12(8):e2718. [8] 张耀龙,宋乃光,孙晶晶. 脑卒中并发肺炎与患者营养不良的相关性[J].中国老年学杂志,2021,41(5):936-938. [9] Liu J,Dong J,Guo J. The effects of nutrition supplement on rehabilitation for patients with stroke: analysis based on 16 randomized controlled trials[J]. Medicine (Baltimore), 2022, 101(37):e29651. [10] Chen L,Xu M,Huang Q,et al. Clinical significance of albumin to globulin ratio among patients with stroke-associated pneumonia[J]. Front Nutr, 2022, 9:970573. [11] 崔玉环,张婧文,徐雅丽,等. 预后营养指数与微型营养评估表评价老年急性脑梗死患者营养不良效果的对比分析[J].重庆医学,2022,51(9):1530-1535. [12] Akimoto T,Hara M,Morita A,et al. Relationship between nutritional scales and prognosis in elderly patients afteracute ischemic stroke: comparison of controlling nutritional status score and geriatric nutritional risk index[J]. Ann Nutr Metab, 2021, 77(2):116-123. [13] Mizuma A,Netsu S,Sakamoto M,et al. Effect of early enteral nutrition on critical care outcomes in patients with acute ischemic stroke[J]. J Int Med Res, 2021, 49(11):3000605211055829. [14] 杜岳,韩强,李楠,等. 不同肠内营养方式对出血性脑卒中并发卒中相关性肺炎患者预后的影响[J].临床急诊杂志,2018,19(6):370-373. [15] 王若冰,王留根,李和平,等. 脑卒中住院患者不同时间点营养状况影响因素研究[J].中国全科医学,2023, 26(6):665-671. [16] 高琼珠,夏结婷,李亚洁,等. 不同时机营养干预对急性脑卒中预后的临床影响[J].中国康复医学杂志,2020,35(2):213-215. [17] 杨江胜,朱祖福,沈丽萍,等. 急性脑卒中伴吞咽障碍患者不同时期肠内营养支持的疗效比较[J].实用医学杂志,2019,35(19):3053-3056. [18] 米元元,黄海燕,尚游,等. 中国危重症患者肠内营养治疗常见并发症预防管理专家共识(2021版)[J].中华危重病急救医学,2021,33(8):903-918. [19] 中国抗癌协会肿瘤营养专业委员会, 中华医学会肠外肠内营养学分会. 肠外营养安全性管理中国专家共识[J].肿瘤代谢与营养电子杂志,2021,8(5):495-502.
2024, Vol. 31 
