摘要
目的 探讨脑卒中患者发生静脉血栓栓塞症(VTE)的影响因素,为预防VTE的发生和制订有针对性的干预措施提供参考依据。方法 选择2019年9月—2020年12月医院神经内科收治的脑卒中患者464例,将其中发生VTE的患者116例作为病例组,未发生VTE的患者348例作为对照组。采用单因素和多因素Logistic回归分析脑卒中患者发生VTE的影响因素。结果 单因素分析结果表明,年龄、有吸烟史、有饮酒史、意识状态、营养风险是脑卒中患者发生VTE的影响因素(P<0.05)。多因素Logistic回归分析结果显示,存在营养风险、有吸烟史、意识障碍是发生VTE的影响因素,而有饮酒史是VTE发生的保护性因素(P<0.05)。结论 营养风险评分≥3分、意识障碍、有吸烟史、不饮酒的脑卒中患者,发生VTE的危险性升高。
Objective To investigate the influential factors of venous thromboembolism(VTE) in stroke patients, and to provide references for the prevention of VTE and the development of targeted intervention measures. Methods 464 stroke patients admitted in the department of neurology of the hospital from September 2019 to December 2020 were selected, 116 patients with VTE were set as the case group, and 348 patients without VTE were set as the control group. Univariate and multivariate Logistic regression were operated to analyze the infl uencing factors of VTE in stroke patients. Results Univariate analysis showed that age, smoking history, drinking history, consciousness state and nutritional risk were the infl uencing factors of VTE in stroke patients(P<0.05). Multivariate Logistic regression analysis showed that nutritional risk, smoking history and consciousness disorder were the influential factors for the occurrence of VTE, while drinking history was the protective factor for the occurrence of VTE(P<0.05). Conclusion The risk of VTE is increased in stroke patients with nutritional risk score ≥ 3 poirits, disturbance of consciousness, smoking history and no drinking history.
作者
朱雪娟
王海霞
申雪花
王艳玲
ZHU Xuejuan;WANG Haixia;SHEN Xuehua;WANG Yanling(Affi liated Hospital of Jining Medical College,Jining,272000,China)
出处
《护理实践与研究》
2022年第11期1634-1638,共5页
Nursing Practice and Research
关键词
脑卒中
静脉血栓栓塞症
危险因素
Cerebral apoplexy
Venous thromboembolism
Risk factors
