[由静脉血栓栓塞复杂的中风的发生和危险因素]
Jing He1, Fang Wang2, Lu-Lu Xiong2
1Department of Nursing, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.
概括
由静脉血栓塞栓症复杂化的中风影响14.39%的患者. 关键的危险因素包括老年,高血压,糖尿病和长时间的卧床休息,而抗凝治疗具有保护作用.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 血管医学 血管医学
背景情况:
- 静脉血栓塞栓症 (VTE) 是中风患者的一个重要并发症.
- 了解中风中VTE的发病率和风险因素对于患者管理至关重要.
研究的目的:
- 为了确定中风患者的静脉瘤发病率.
- 在中风幸存者中确定与静脉瘤相关的独立风险因素.
主要方法:
- 在2018年1月至2021年6月期间治疗的2709名中风患者的回顾性分析.
- 后勤回归分析以确定VTE的风险因素.
- 计算了静脉血栓塞瘤,深静脉血栓塞瘤 (DVT) 和肺血栓栓塞瘤 (PTE) 的发生率.
主要成果:
- 在中风患者中,静脉瘤发病率为14.39%,而DVT是最常见的形式 (14.14%).
- 静脉动脉突发症的独立风险因素包括年龄> 60,高血压,糖尿病,长时间的卧床休息 (≥3天),D-二次数升高 (≥0.95 mg/mL),高甘油酸 (≥1.83 mmol/L),低巴塞尔指数 (≤9),高帕多瓦得分 (>4).
- 抗凝固疗法显示出对VTE的保护作用.
结论:
- 在中风患者中,VTE是一种显著的并发症,特定的人口和临床因素增加了风险.
- 针对特定的风险因素的有针对性的干预措施,与抗凝药一起,对于中风患者的静脉瘤预防至关重要.
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