脑梗死并发消化道出血的危险因素分析  

Risk Factors Analysis of Gastrointestinal Hemorrhage in Acute Ischemic Stroke Patients

作　　者：盛鑫[1] 张苏明[1] 黄晓江[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院神经内科,武汉430030

出　　处：《神经损伤与功能重建》2015年第2期119-121,共3页Neural Injury and Functional Reconstruction

摘　　要：目的:探讨脑梗死患者并发消化道出血(GIH)的危险因素。方法:收集急性脑梗死患者654例,对发生GIH患者可能的危险因素进行分析。结果:654例患者中,发生消化道出血44例(6.73%)。并发GIH患者的平均年龄、大面积梗死比例、既往卒中史比例、抗凝药物使用比例高于无GIH患者,差异均有统计学意义(P<0.05),氯吡格雷与阿司匹林联合使用比例差异无统计学意义。结论:GIH在脑梗死中是常见且影响预后的严重并发症之一,对其预防及治疗需合理选择药物。Objective： To discuss risk factors of gastrointestinal hemorrhage in acute ischemic stroke patients.Methods： Six hundred and fifty-four ischemic stroke patients were enrolled. The risk factros were analyzed. Results： Forty-four patients（6.73%） were experienced gastrointestinal hemorrhage in total 654 patients. The average age, propotion of large area infarction, propotion of previous stroke, propotion of using anticoagulant in the gastrointestinal hemorrhage patients were higher than those of patients without gastrointestinal hemorrhage（P〈0.05）.And there was no difference in the propotion of combined use of clopidogrel and aspirin in the patients without gastrointestinal hemorrhage. Conclusion： Gastrointestinal hemorrhage is common and poor the outcome in stroke,prophylaxis and treatment should be rational.

关 键 词：脑梗死 消化道出血 危险因素 

分 类 号：R741[医药卫生—神经病学与精神病学] R741.02[医药卫生—临床医学]