急性脑梗死联合轻微脑出血患者的危险因素及对心脑血管事件发生率的影响  

Risk factors and effects of acute cerebral infarction on the incidence of cardiovascular and cerebrovascular events

作　　者：李桂芳 张菊莲 徐小冬 张容 LI Guifang;ZHANG Julian;XU Xiaodong;ZHANG Rong(Departmentof Emergeney,Rugao Traditional Chinese Medicine Hospital,Nantong Jiangsu 226500,China)

机构地区：[1]如皋市中医院急诊科,江苏南通226500 [2]如皋市中医院神经内科,江苏南通226500

出　　处：《中国急救复苏与灾害医学杂志》2024年第2期187-190,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：江苏省中医药管理局科研项目(编号:YB2020)。

摘　　要：目的 探究急性脑梗死联合轻微脑出血患者的危险因素及对心脑血管事件发生率的影响。方法 按照如皋市中医院2020年4月—2021年4月抽取的50例急性脑梗死联合轻微脑出血患者作为轻微脑出血组,自2021年5月—2022年5月抽取的50例急性脑梗死未出现脑出血患者作为未脑出血组。对两组患者的吸烟、饮酒、糖尿病、高血压、脑出血史进行分析急性脑梗死和轻微脑出血的形成危险因素。分析轻微脑出血患者的心脑血管事件发生率的相关影响情况。结果 在纳入的患者当中,未脑出血组心脑血管事件发生率(脑梗死、脑出血、冠心病、心力衰竭、高血压、死亡)显著低于轻微脑出血组(P<0.05),经多因素回归分析表明,性别、年龄、吸烟、脑出血史、脑梗死史是导致轻微脑出血组心脑血管事件发生率高的重要影响因素。结论 急性脑梗死联合轻微脑出血患者相比于急性脑梗死患者易发生心脑血管事件发生,其主要影响因素性别、年龄、吸烟、脑出血史、脑梗死5种危险因素。Objective To explore the risk factors of acute cerebral infarction on the incidence of cerebrovascular events.Methods According to the 100 patients with acute cerebral infarction combined with minor cerebral hemorrhage selected from April 2019 to April 2022 as the study subjects,50 cases in each of the two groups were set according to the random number method.Risk factors for smoking,alcohol consumption,diabetes mellitus,hypertension,and history of acute cerebral infarction and minor cerebral hemorrhage were analyzed.The related effect of minor ICH on the incidence of cardiovascular and cerebrovascular events in both groups was analyzed.Results Among the included patients,the incidence of cardiovascular and cerebrovascular events(cerebral infarction,cerebral hemorrhage,coronary heart disease,heart failure,hypertension,death)in the non cerebral hemorrhage group was significantly lower than that in the mild cerebral hemorrhage group(P<0.05).Regression analysis showed that gender,smoking,alcohol consumption,history of cerebral hemorrhage,and history of cerebral infarction were important influencing factors that significantly increased the incidence of cardiovascular and cerebrovascular events in the mild cerebral hemorrhage group compared to the non cerebral hemorrhage group.Conclusion Patients with acute cerebral infarction combined with mild cerebral hemorrhage are more prone to cardiovascular and cerebrovascular events compared to patients with acute cerebral infarction,The main influencing factors include gender,smoking,alcohol consumption,history of cerebral hemorrhage,and history of cerebral infarction.

关 键 词：急性脑梗死 轻微脑出血 危险因素 心脑血管事件发生率 

分 类 号：R651[医药卫生—外科学]