低血的频率及其对缺血性中风预后的影响
Asif Khan1, Zamin Khan1, Salman Khan1
1Department of Medicine, Khyber Teaching Hospital, Peshawar, PAK.
Cureus
|July 14, 2023
概括
低血症或低水平在缺血性中风患者中很常见. 这种情况独立地预测了更高的住院死亡率和更差的中风严重程度得分.
科学领域:
- 神经学 神经学
- 内部医学 内部医学
- 临床化学 临床化学
背景情况:
- 低血是住院患者经常出现的并发症.
- 低血清水平与缺血性中风的不良结果有关.
- 了解低血对中风的影响对于患者护理至关重要.
研究的目的:
- 为了确定缺血性中风患者中低血的频率.
- 调查低血和预后之间的关联.
- 评估低血量对缺血性中风临床结果的影响.
主要方法:
- 一项从2022年9月到2023年2月对289名缺血性中风患者的横截面研究.
- 在入院时测量的血清水平;低血量定义为<135 mmol/L.
- 通过国家卫生研究院中风量表 (NIHSS) 评分和住院患者死亡率评估结果;使用多变量逻辑回归.
主要成果:
- 缺血性中风患者中有101人 (35%) 患有低血血症.
- 低血症患者在入院和出院时表现出更高的NIHSS分数.
- 低血是住院死亡率的独立预测因素 (16.8%对10.1%).
结论:
- 低血是缺血性中风患者中普遍存在的疾病.
- 低水平与较差的临床结果独立相关.
- 低血预测在缺血性中风患者的医院死亡率增加.
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