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急性脑梗死后非溶栓患者出血转化的危险因素研究

马丽娜 李兴 余丹 杨国帅 周治平

海南医学院学报2018,Vol.24Issue(6):677-679,3.
海南医学院学报2018,Vol.24Issue(6):677-679,3.DOI:10.13210/j.cnki.jbmu.20180403.001

急性脑梗死后非溶栓患者出血转化的危险因素研究

Study on risk factors of hemorrhagic transformation in patients with acute cerebral infarction after non thrombolysis

马丽娜 1李兴 2余丹 1杨国帅 1周治平1

作者信息

  • 1. 中南大学湘雅医学院附属海口医院 神经内科,海南海口570203
  • 2. 中南大学湘雅医学院附属海口医院 肿瘤化疗科,海南海口570203
  • 折叠

摘要

Abstract

Objective:To study tbe risk factors of bemorrbagic transformation in patients witb acute cerebral infarction and to analyze tbe risk factors.Methods:96 patients witb acute cerebral infarction after tbe tbrombolysis in our bospital from June 2016 to December 2017 were selected as tbe researcb object.And tbey were divided into bleeding group 48 cases and bem-orrbage transformation group 48 cases according to wbetber witb bemorrbage occurs transformation.Tben tbe lipid metabo-lism,atrial fibrillation,bistory of smoking and drinking,bistory of bypertension and diabetes,blood pressure,treatment time af-ter onset and infarction area of two groups were compared,and tbe relationsbip between tbose factors and tbe disease were ana-lyzed by tbe multi-factor Logistic regression analysis.Results:Tbe atrial fibrillation,bistory of smoking and drinking of two groups bad significant differences(P<0.05);Tbe bospital fasting plasma glucose and LDL-C level of two groups bad signifi-cant differences(P<0.05);tbe treatment time after onset and infarction area of two groups bad significant differences(P<0.05);Tbe multi-factor Logistic regression analysis sbowed tbat atrial fibrillation,blood glucose on admission,LDL -C and large area of infarction are tbe factors affecting tbe risk of bleeding in patients witb acute cerebral infarction transformation. Conclusion:Atrial fibrillation,blood glucose on admission,LDL–C,treatment time after onset and large area of infarction be-longs to tbe patients witb acute cerebral infarction after tbe tbrombolysis transformation of bleeding risk factors.

关键词

急性脑梗死/出血转化/影响因素/Logistic回归分析

Key words

acute cerebral infarction/Hemorrbage transformation/Influencing factors/Logistic regression analysis

分类

医药卫生

引用本文复制引用

马丽娜,李兴,余丹,杨国帅,周治平..急性脑梗死后非溶栓患者出血转化的危险因素研究[J].海南医学院学报,2018,24(6):677-679,3.

海南医学院学报

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1007-1237

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