摘要
目的分析影响急性脑梗死患者动脉溶栓后死亡的危险因素。方法对300例急性脑梗死并经过动脉溶栓的患者的临床资料进行回顾,将死亡的患者记为死亡组(20例),其余患者记为存活组(280例),分析影响患者死亡的相关因素。结果死亡组年龄>60岁、NIHSS评分>14分构成比均明显高于存活组,而联合静脉溶栓、联合机械碎吸术、联用抗凝药物构成比均明显低于存活组(P<0.05)。急性脑梗死患者动脉溶栓后死亡的独立危险因素有年龄>60岁、NIHSS评分>14分,保护因素有联合静脉溶栓、联合机械碎吸术、联用抗凝药物(P<0.05)。结论导致急性脑梗死动脉溶栓后死亡的危险因素有年龄>60岁、NIHSS评分>14分,而联合静脉溶栓、联合机械碎吸术、联用抗凝药物均是其保护因素,需要针对分析结果制定并贯彻落实针对性的防控措施,以降低死亡率。
Objective To analyze the risk factors of death after arterial thrombolysis in patients with acute cerebral infarction. Methods The clinical data of 300 patients with acute cerebral infarction who underwent arterial thrombolysis were reviewed. The patients who died were recorded as death group（20 cases） and the others were recorded as survival group（280 cases）, factors associated with the death of the patient were analyzed. Results The constituent ratios of age60,and NIHSS score 14 in the death group were higher than those in the survival group, the constituent ratios of combined intravenous thrombolysis, combined mechanical crushing and aspiration, combined anticoagulant drugs were lower than those in the survival group（P〈0.05）. The independent risk factors for death after arterial thrombolysis in patients with acute cerebral infarction were age 60, NIHSS score 14, the protective factors were combined with intravenous thrombolysis,combined mechanical aspiration, combined anticoagulant drugs（P〈0.05）. Conclusion The risk factors for death after arterial thrombolysis of acute cerebral infarction are age 60 and NIHSS score 14, the protective factors are combined with intravenous thrombolysis, combined mechanical aspiration, combined anticoagulant drugs. It is necessary to formulate and implement targeted prevention and control measures against the analysis results to reduce the mortality rate.
作者
王沛
朱浩
鱼丽萍
赵锦华
吴雅欣
杨霖崧
贾丽娟
WANG Pei;ZHU Hao;YU Li-ping;ZHAO Jin-hua;WU Ya-xin;YANG Lin-song;JIA Li-juan(the First People＇s Hospital of Xianyang City,Xianyang 712000,China)
出处
《临床医学研究与实践》
2018年第26期107-108,共2页
Clinical Research and Practice
关键词
急性脑梗死
动脉溶栓
危险因素
acute cerebral infarction
arterial thrombolysis
risk factors
