急性脑卒中并发上消化道出血危险因素分析

孔天宇; 依力哈木·阿里木; 权泽威; 寇晓文; 董新玲

doi:10.13201/j.issn.1009-5918.2017.12.008

急性脑卒中并发上消化道出血危险因素分析

- 1. 新疆医科大学第二附属医院急救中心(乌鲁木齐, 830063);
- 2. 新疆医科大学第二附属医院干部病房

详细信息

通讯作者: 董新玲,E-mail:dongxinlingjzk@163.com

中图分类号: R743.33

收稿日期: 2017-11-13

Analysis of risk factors of acute cerebral stroke combined with upper gastrointestinal hemorrhage

- 1. Emergency Center, the Second Affilicated Hospital of Xinjiang Medical University, Urumqi, 830063, China;
- 2. Department of Geriatrics, the Second Affilicated Hospital of Xinjiang Medical University

More Information

Corresponding author: DONG Xinling, E-mail: dongxinlingjzk@163.com

Received Date: 13 November 2017

摘要

摘要: 目的:研究急性脑卒中患者并发上消化道出血(UGH)的危险因素及预后。方法:将本院244例急性脑卒中患者,根据性别、年龄、民族、高血压史、慢性溃疡病史、GCS评分、脑卒中的不同类型、不同出血部位及不同出血量分成两组,比较相互间UGH发生率的差异;根据有无并发UGH分成两组,分别比较肺部感染率以及病死率的差异。结果:实验组中年龄>70岁、高血压3级、GCS评分3~8分、出血体积>25ml的急性脑卒中患者UGH的发生率高于对照组,并发UGH的急性脑卒中患者肺部感染发生率及病死率高于无UGH的患者,差异有统计学意义(P<0.05)。结论:年龄>70岁、高血压3级、GCS评分越低(3~8分)是急性脑卒中并发UGH的危险因素,且患者预后较差。
- 脑卒中 /
- 上消化道出血 /
- 危险因素
Abstract: Objective:To explore the risk factors and prognosis of patients with upper gastrointestinal hemorrhage (UGH) complicated with acute cerebral stroke.Method:By investigated the clinical data of 244 cases of acute cerebral stroke and divided into two groups, respectively according to gender、age、nationality、history of hypertension、history of chronic ulcer、GSC score、the type of cerebral stroke、the position of bleeding、the amount of bleeding.Compared with the incidence rate of UGH, all the cases were divided into two groups according to complicate with UGH or no, and compared their pulmonary infection rate and fatality rate.Result:The rates of age >70 years old、the third stage hypertension、GCS score (3-8)、the blood loss volume >25 ml incidence in the observation group was significantly higher than that of the control group, the rates of complicate with UGH pulmonary infection rate and fatality rate was higher than those without UGH.The difference was statistically significant (P<0.05).Conclusion:The rates of age>70 years old、the third stage hypertension、the lower of GCS score (3-8) are high risk of acute cerebral stroke combined with upper gastrointestinal hemorrhage (UGH), and shows a bad prognosis.
- acute cerebral apoplexy /
- upper gastrointestinal hemorrhage /
- risk factors

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