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在自发性脑内出血中发生深静脉血栓的危险因素及其长期预后影响
Xianju Liang1,2, Chuyue Wu1,2,3, Yu Huang1,2
1Department of Neurology, Chongqing University Three Gorges Hospital, Chongqing, China.
Open medicine (Warsaw, Poland)
|February 23, 2026
概括
脑内出血 (ICH) 患者的静脉血栓与更长的住院时间,更高的NIH中风评分和升高的D-二次数水平有关. 这些患者在ICH后也面临着更糟糕的功能结果.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 临界护理医学 临界护理医学
背景情况:
- 脑内出血 (ICH) 是一种严重的神经疾病.
- 静脉血栓症 (VT) 是ICH患者的潜在并发症.
- 在ICH中确定静脉瘤风险因素对于患者管理至关重要.
研究的目的:
- 在自发性脑内出血的患者中确定静脉血栓的危险因素.
- 评估静脉血栓塞对ICH患者功能结果的影响.
主要方法:
- 从2021年1月至2022年12月对737名ICH患者的回顾性分析.
- 统计分析以确定与VT相关的风险因素和结果.
- 在有和没有静脉瘤的患者之间比较死亡率和功能结果.
主要成果:
- 静脉血栓发生在11.7%的ICH患者中 (86/737).
- 静脉瘤的危险因素包括更长的住院时间 (p<0.001),更高的入院NIH中风量表 (p=0.008),以及升高的D-二次数水平 (p=0.041).
- 患有静脉瘤的患者在出院时,90天后和ICH1年后 (p<0.05) 有显著更高的功能不良结果率.
结论:
- 长时间住院,NIH中风量表得分升高和D-二次数水平是ICH患者静脉血栓形成的重要危险因素.
- 静脉血栓症与脑内出血后功能恢复较差有关.
- 早期识别和管理静脉瘤风险因素可能会改善ICH患者的治疗结果.
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