急性脑卒中患者发生应激性溃疡并发症的危险因素分析

陈慧敏; 黄昌保; 狄佳; 聂时南

doi:10.13201/j.issn.1009-5918.2015.03.007

急性脑卒中患者发生应激性溃疡并发症的危险因素分析

- 南京军区南京总医院急救医学科(南京, 210002)
基金项目:
中国人民解放军南京军区重大专项课题（No：12Z32）

详细信息

通讯作者: 聂时南,E-mail:shn_nie@sina.com

中图分类号: R743.3

收稿日期: 2014-10-14

Analysis of risk factors of complications in stress ulcer patients with acute cerebral stroke

- Department of Emergency Medicine, Nanjing General Hospital of Nanjing Military Command, PLA, Nanjing 210002, Jiangsu, China

More Information

Corresponding author: NIE Shinan, E-mail: shn_nie@sina.com

Received Date: 14 October 2014

摘要

摘要: 目的：探讨引起脑卒中患者发生应激性溃疡并发症的危险因素。方法：回顾性总结我科收治的脑卒中患者相关临床资料共计125例。结果：单因素分析结果显示，年龄（χ²=5.77）、脑卒中类型（χ²=18.90）、脑卒中严重程度（χ²=11.39）、神经功能缺损程度（χ²=9.45）和肠内营养情况（χ²=8.75）5个因素的应激性溃疡发生率具有统计学意义（P<0.05），Logistic回归分析结果显示，年龄（β=0.36）、脑卒中类型（β=0.45）、脑卒中严重程度（β=0.61）和神经功能缺损程度（β=0.70）是引起脑卒中患者发生应激性溃疡并发症的独立危险因素。结论：对于高龄、出血性脑卒中、重度脑卒中和GCS评分为3~8分的脑卒中患者，因其出现应激性溃疡并发症的危险性较大，应进行针对性的重点预防。
- 急性脑卒中 /
- 应激性溃疡 /
- 危险因素
Abstract: Objective: To explore the risk factors of complications caused by stress ulcer in patients with stroke.Method: The clinical data of 125 cases of patients with stroke in our department was analyzed.The results showed that age (χ²=5.77),stroke type (χ²=18.90),stroke severity (χ²=11.39),the degree of neural function defect (χ²=9.45) and enteral nutrition condition (χ²=8.75) had statistical significance on stress ulcer(P<0.05).Logistic regression analysis showed that age,(β=0.36),stroke type (β=0.45),stroke severity (β=0.61) and the degree of neural function defect (β=0.70) were the independent risk factors of complications of stress ulcer in stroke patients.Result: The age,severe stroke,cerebral hemorrhage and GCS score of 3 points~8 points should be pay attention,because of the serious complication of stress ulcer.
- acute cerebral stroke /
- stress ulcer /
- risk factors

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