西南国防医药2017，Vol.27Issue(12)：1268-1271,4.DOI:10.3969/j.issn.1004-0188.2017.12.006
急性脑梗死溶栓后脑出血的危险因素Logistic回归分析
Logistics regression analysis of risk factors for cerebral hemorrhage after acute cerebral infarction
孙德金 1许铁1
作者信息
- 1. 221000江苏徐州,徐州医科大学急救与救援医学系
- 折叠
摘要
Abstract
Objective To analyze the risk factors for cerebral hemorrhage after thrombolysis in patients with acute cerebral infarction (ACI) in order to explore appropriate preventive measures.Methods A total of 182 patients with ACI to receive treatment in our hospital were selected as study subjects and treated with thrombolytic therapy after admission.The incidence of cerebral hemorrhage after thrombolysis was calculated.Single-and multi-factor analysis and logistic regression analysis were conducted on the influence factors for cerebral hemorrhage after ACI thrombolysis.Reasonable preventive measures were explored.Results Among the 182 patients treated with thrombolysis,62 patients had cerebral hemorrhage,with an incidence of 34.07％.The results of single-factor analysis showed that the age,pre-treatment NIHSS score,AF and cardiogenic cerebral embolism composition ratio in the hemorrhage group were significantly higher than those in the non-hemorrhage group,and the time from the attack to venous thrombolytic therapy was much longer than that in the non-hemorrhage group (P ＜ 0.05);the results of logistics regression analysis showed that the ultrahigh pre-treatment NIHSS score and the complication of AF were independent risk factors for cerebral hemorrhage after ACI thrombolysis (P ＜ 0.05).Conclusion The ultra-high pre-treatment NIHSS score and the complication of AF are independent risk factors for cerebral hemorrhage after ACI thrombolysis,thus targeted preventive and intervening measures should be clinically taken for patients accordingly,which is of great significance for lowering the incidence of cerebral hemorrhage after thrombolysis and improving patients' prognosis.关键词
脑梗死/溶栓/脑出血/危险因素Key words
cerebral infarction/thrombolysis/cerebral hemorrhage/risk factor分类
医药卫生引用本文复制引用
孙德金,许铁..急性脑梗死溶栓后脑出血的危险因素Logistic回归分析[J].西南国防医药,2017,27(12):1268-1271,4.
