实用医学杂志2017，Vol.33Issue(4)：558-560,3.DOI:10.3969/j.issn.1006-5725.2017.04.015
肺栓塞伴发晕厥危险因素的非条件Logistic回归分析
Risk factors of Syncope Symptom in Patients with Pulmonary Embolism by unconditioned logistic regression
摘要
Abstract
Objective To investigate the risk factors of syncope symptom in patients with pulmonary embolism (PE).Methods 457 patients with confirmed pulmonary embolism were recruited in the study.They were divided into two groups:the syncope group (44 patients) and the group without syncope (413 patients).The clinical manifestation,laboratory examination,physical examination,imagingof all patients were analyzed by unconditional logistic regression.Results (1) Single factor analysis,prevalence of syncope was 9.6％ (44/457) in these patients with PE.Those with syncope had some higher risk factors,including age over 60,coronary heart disease,hypertension,stroke and lower limb vein thrombosis history.The proportion of falling pressure chest painand centricity thrombus in syncope group were increasing compared with the groupwithout syncope.Pulmonary embolism severity index (sPESI) score was higher than groupwithout syncope.(2) Multivariate analysis showed that hypertension coronary heart disease and Centricity thrombus were the independent correlates of the presence of syncope in the patients with PE.Conclusions Patients who had histories of hypertension and coronary heart disease may have the higher risk factors of syncope.Blood pressure falling and central localization may be more likely to happen in PE patients with syncope.关键词
晕厥/肺栓塞/sPESI评分/中心型肺栓塞Key words
Syncope symptom/Pulmonary embolism/SPESI score/Central type ofpulmonary embolism引用本文复制引用
和雪改,毛毅敏,何俊..肺栓塞伴发晕厥危险因素的非条件Logistic回归分析[J].实用医学杂志,2017,33(4):558-560,3.基金项目
国家“十二五”科技支撑计划课题(编号:2011BAI11B17) （编号:2011BAI11B17）
