脑梗死患者下肢深静脉血栓形成的危险因素分析
作者:
作者单位:

1.西南医科大学附属医院全科,四川 泸州 646000;2.西南医科大学附属医院血液内科,四川 泸州 646000

作者简介:

高珊(1993-),女,研究生,主要从事脑血管疾病的研究及临床工作。

通信作者:

李晓明(1960-),男,血液内科主任,硕士,主要从事血液病的研究及临床工作。Email:lxm6358@21cn.com。

基金项目:


An analysis of risk factors for lower extremity deep venous thrombosis in patients with cerebral infarction
Author:
Affiliation:

1.General Practice, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, China;2.Department of Hematology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, China

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    摘要:

    目的 了解脑梗死患者下肢深静脉血栓形成的发生率,并分析其危险因素。方法 选取西南医科大学附属医院自2018年3月至2019年11月收治的431例脑梗死患者的临床资料信息,根据是否发生下肢深静脉血栓分为血栓组(52例)和非血栓组(379例),比较两组临床资料,分析相关危险因素。结果 两组在年龄(≥60岁)、高血压病史、糖尿病病史、高脂血症病史、恶性肿瘤病史、合并感染、NIHSS评分≥16分、脱水剂应用≥4次/d、卧床时间≥14 d、行介入治疗、服用氯吡格雷等方面比较,差异有统计学意义(P<0.05)。多因素logistic回归分析显示,合并高血压、脱水剂使用次数≥4次/d、NIHSS评分≧16分、合并感染是脑梗死患者发生下肢深静脉血栓的危险因素,差异有统计学意义(P<0.05)。结论 脑梗死患者发生下肢深静脉血栓是多种因素共同作用的结果。 [国际神经病学神经外科学杂志, 2021, 48(3): 280-283]

    Abstract:

    Objective To investigate the incidence of lower extremity deep venous thrombosis in patients with cerebral infarction and analyze the associated risk factors.Methods The clinical data of 431 patients with cerebral infarction admitted to the Affiliated Hospital of Southwest Medical University from March 2018 to November 2019 were divided into two groups with (n=52) and without (n=379) lower extremity deep venous thrombosis. The clinical data of the two groups were compared and the associated risk factors were analyzed.Results There were significant differences between the two groups in age (≥60 years), history of hypertension, history of diabetes, history of hyperlipidemia, history of malignancy, concomitant infection, National Institute of Health Stroke Scale (NIHSS) score ≥16, administration of dehydrating agent ≥4 times/day, bedtime ≥14 days, interventional therapy, and use of clopidogrel (P<0.05). Multivariate logistic regression analysis showed that concomitant hypertension, administration of dehydrating agent ≥4 times/d, NIHSS score ≥16, and concomitant infection were risk factors for lower extremity deep venous thrombosis in patients with cerebral infarction (P<0.05).Conclusions The occurrence of lower extremity deep venous thrombosis in patients with cerebral infarction is the result of multiple factors. [Citation:Journal of International Neurology and Neurosurgery, 2021, 48(3): 280-283]

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高珊,李晓明,张科456.脑梗死患者下肢深静脉血栓形成的危险因素分析[J].国际神经病学神经外科学杂志,2021,48(3):280-283111GAO Shan, LI Xiao-Ming, ZHANG Ke222. An analysis of risk factors for lower extremity deep venous thrombosis in patients with cerebral infarction[J]. Journal of International Neurology and Neurosurgery,2021,48(3):280-283

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  • 收稿日期:2020-11-19
  • 最后修改日期:2021-04-20
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  • 在线发布日期: 2021-08-27
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