高龄患者出血性脑梗死相关危险因素分析  

Analysis of risk factors of hemorrhagic infarction in elderly patients

作　　者：朱长东[1] 吕志迈[2] 周亮 

机构地区：[1]赣南医学院第二附属医院神经内科,江西赣州341600 [2]赣南医学院第一附属医院神经内科,江西赣州341600 [3]江西省大余县中医院脑外科,江西大余341500

出　　处：《中国现代医生》2014年第19期135-137,共3页China Modern Doctor

摘　　要：目的 探讨高龄患者出血性脑梗死相关危险因素.方法 选择2010年1月～2013年5月我院收治的135例高龄脑梗死患者作为观察对象,根据是否出血将患者分为出血性脑梗死组（70例）和非出血性脑梗死组（65例）,分析两组的危险因素.结果 与非出血性脑梗死组比较,发生出血性脑梗死的主要危险因素包括高血压、高血糖、较大面积的脑梗死及脑栓塞,差异均具有统计学意义（P＜0.05）;各个出血时间段治疗的有效率比较,差异均具有统计学意义（P＜0.05）.结论 大面积脑梗死、高血糖、心源性脑栓塞及高血压是出血性脑梗死的危险因素,对脑梗死患者应及早进行头颅CT检查,对可能出血的脑梗死患者及早调整治疗方案,提高预后效果.Objective To investigate the relative risk factors of hemorrhage cerebral infarction in elderly patients. Methods A total of 135 cases of elderly patients with cerebral infarction in our hospital from January 2010 to May 2013 were enrolled as the object of observation, according to whether hemorrhage patients were divided into hemorrhagic infarction hemorrhage group （70 cases） and non-hemorrhagic cerebral infarction group （65 cases）. The risk factors of two groups were analyzed. Results Compared with non-hemorrhagic cerebral infarction group, major risk factors of hemorrhagic cerebral infarction included hypertension, hyperglycemia, a large area of cerebral infarction and cerebral embolism, the differences were statistically significant（P〈 0.05）; Two efficiency comparison of the bleeding time of treatmer he differences were significant （P〈 0.05）. Conclusion Large area cerebral infarction, hyperglycemia, cardiogenic ce embolism and hypertension are risk factors for hemorrhagic cerebral infarction, cerebral infarction patients should be done as soon as possible the head CT examination, the hemorrhage cerebral infarction with early and adjust the treatment plan, can improve the prognosis.

关 键 词：老年患者 出血性脑梗死 危险因素 

分 类 号：R743.33[医药卫生—神经病学与精神病学]