对患有下肢深静脉血栓症的中风患者的临床特征分析
Changbin Liu1, Anming Hu1, Sihao Liu1
1Department of Rehabilitation Medicine, Beijing Tian'tan Hospital, Capital Medical University, Beijing, China.
Frontiers in neurology
|January 26, 2026
概括
65岁以上的中风患者,长时间躺在床上,有吸烟史,以及糖尿病和高血压等某些并发症,面临更高的深静脉血栓形成风险. 建议早期康复和抗凝药,以预防中风幸存者的DVT.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 血栓形成研究研究
背景情况:
- 脑卒中患者患深静脉血栓症 (DVT) 的风险增加,这是一个严重的并发症.
- 了解中风患者DVT的临床特征和风险因素对于有效的预防和管理至关重要.
研究的目的:
- 分析中风患者的临床特征,这些患者患有下肢深静脉血栓症 (DVT).
- 在中风患者中确定DVT发展的独立风险因素.
- 为此群体提供DVT预防和治疗策略的参考.
主要方法:
- 对5980名在北京天津医院住院的中风患者的回顾性分析.
- 患者分为DVT (n=118) 和对照 (n=5,862) 组.
- 倾向性得分匹配 (1:1) 用于比较分析;多变量后勤回归用于识别风险因素.
主要成果:
- 在65岁以上的患者中观察到较高的DVT发病率,床上休息时间≥3天,吸烟史,缺乏抗凝剂,肌肉强度低,没有康复.
- 诸如糖尿病,高血压,高血糖血,高D-二次数,高三糖血和高LDL等并发症是显著的危险因素.
- 多变量分析证实这些是中风患者下肢DVT的独立风险因素.
结论:
- 脑卒中患者是DVT的高风险人群.
- 建议采取早期和系统的干预措施,包括康复和适当的抗凝治疗,以减少DVT的发生率.
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