神经损伤与功能重建
神經損傷與功能重建
신경손상여공능중건
NEURAL INJURY AND FUNCTIONAL RECONSTRUCTION
2015年
2期
119-121
,共3页
脑梗死%消化道出血%危险因素
腦梗死%消化道齣血%危險因素
뇌경사%소화도출혈%위험인소
acute ischemic stroke%gastrointestinal hemorrhage%risk factors
目的：探讨脑梗死患者并发消化道出血（GIH）的危险因素。方法：收集急性脑梗死患者654例，对发生GIH 患者可能的危险因素进行分析。结果：654例患者中，发生消化道出血44例（6.73%）。并发 GIH 患者的平均年龄、大面积梗死比例、既往卒中史比例、抗凝药物使用比例高于无 GIH 患者，差异均有统计学意义（P<0.05），氯吡格雷与阿司匹林联合使用比例差异无统计学意义。结论：GIH 在脑梗死中是常见且影响预后的严重并发症之一，对其预防及治疗需合理选择药物。
目的：探討腦梗死患者併髮消化道齣血（GIH）的危險因素。方法：收集急性腦梗死患者654例，對髮生GIH 患者可能的危險因素進行分析。結果：654例患者中，髮生消化道齣血44例（6.73%）。併髮 GIH 患者的平均年齡、大麵積梗死比例、既往卒中史比例、抗凝藥物使用比例高于無 GIH 患者，差異均有統計學意義（P<0.05），氯吡格雷與阿司匹林聯閤使用比例差異無統計學意義。結論：GIH 在腦梗死中是常見且影響預後的嚴重併髮癥之一，對其預防及治療需閤理選擇藥物。
목적：탐토뇌경사환자병발소화도출혈（GIH）적위험인소。방법：수집급성뇌경사환자654례，대발생GIH 환자가능적위험인소진행분석。결과：654례환자중，발생소화도출혈44례（6.73%）。병발 GIH 환자적평균년령、대면적경사비례、기왕졸중사비례、항응약물사용비례고우무 GIH 환자，차이균유통계학의의（P<0.05），록필격뢰여아사필림연합사용비례차이무통계학의의。결론：GIH 재뇌경사중시상견차영향예후적엄중병발증지일，대기예방급치료수합리선택약물。
Objective: To discuss risk factors of gastrointestinal hemorrhage in acute ischemic stroke patients. Methods: Six hundred and fifty-four ischemic stroke patients were enrolled. The risk factros were analyzed. Re-sults: Forty-four patients (6.73%) were experienced gastrointestinal hemorrhage in total 654 patients. The average age, propotion of large area infarction, propotion of previous stroke, propotion of using anticoagulant in the gas-trointestinal hemorrhage patients were higher than those of patients without gastrointestinal hemorrhage(P<0.05). And there was no difference in the propotion of combined use of clopidogrel and aspirin in the patients without gastrointestinal hemorrhage. Conclusion: Gastrointestinal hemorrhage is common and poor the outcome in stroke, prophylaxis and treatment should be rational.
