论文部分内容阅读
目的:探讨急性脑卒中并发上消化道出血(GIB)的相关危险因素及其对急性脑卒中预后的影响。方法:将2007年1月至2011年12月收治的急性脑卒中患者563例按缺血性脑卒中与出血性脑卒中、有无意识障碍和脑疝各分为两组,分别比较其GIB发生率;按有无并发GIB分为两组,比较两组间GCS评分、肺炎和多器官功能不全(MODS)发生率及病死率。结果:出血性脑卒中GIB发生率高于缺血性脑卒中;意识障碍组GIB发生率高于非意识障碍组:并发脑疝组GIB发生率高于非并发脑疝组;脑卒中伴GIB组GCS评分低于无GIB组;脑卒中伴GIB组肺炎发生率、MODS发生率以及病死率均明显高于无GIB组(P<0.01);结论:并发GIB是急性脑卒中病情危重的一个独立因素,提示其预后差。
Objective: To explore the related risk factors of acute stroke complicated by upper gastrointestinal bleeding (GIB) and its effect on the prognosis of acute stroke. Methods: From January 2007 to December 2011, 563 acute stroke patients were divided into two groups according to their ischemic stroke, hemorrhagic stroke, unconsciousness and cerebral hernia. The incidence of GIB According to the presence or absence of concurrent GIB, the patients were divided into two groups. The incidence of GCS, pneumonia and multiple organ dysfunction (MODS) and mortality were compared between the two groups. Results: The incidence of GIB in hemorrhagic stroke was higher than that in ischemic stroke. The incidence of GIB in conscious group was higher than that in non-conscious group: the incidence of GIB in hernia group was higher than that in non-hernia group; GCS score was lower than those without GIB group. The incidence of pneumonia, MODS incidence and mortality in stroke with GIB group were significantly higher than those without GIB group (P <0.01). Conclusions: Concurrent GIB is an independent factor of acute stroke severity , Suggesting that the prognosis is poor.