急性腦梗死溶栓治療患者早期神經(jīng)功能惡化的影響因素

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【摘要】目的：分析急性腦梗死（ACI）溶栓治療患者早期神經(jīng)功能惡化（END）的影響因素。方法：選擇100例ACI患者，均實(shí)施溶栓治療，依據(jù)患者病情分為對(duì)照組（未發(fā)生END）和END組，分析END的影響因素。結(jié)果：?jiǎn)我蛩胤治?，ACI患者實(shí)施溶栓后產(chǎn)生END與性別、心房顫動(dòng)、冠心病和溶栓前NHISS評(píng)分無(wú)關(guān)（P>0.05）；ACI患者實(shí)施溶栓后產(chǎn)生END與糖尿病、梗死分型及高血壓具有直接關(guān)系（P1，P

【關(guān)鍵詞】急性腦梗死；溶栓；早期神經(jīng)功能惡化；影響因素

Influencing factors of early neurological deterioration in patients with acute cerebral infarction treated with thrombolytic therapy

HE Wenmin

Department of Neurology， Suixi County People’s Hospital， Zhanjiang City， Guangdong， Zhanjiang， Guangdong 524300， China

【Abstract】Objective：To analyze the influencing factors of early neurological deterioration （END） in patients with acute cerebral infarction （ACI） undergoing thrombolytic therapy.Methods：100 patients with ACI were selected and treated with thrombolysis，they were divided into the control group （no END） and the END group according to their condition，and the influencing factors of END were analyzed. Results：Univariate analysis showed that END in ACI patients after thrombolysis was not related to gender，atrial fibrillation，coronary heart disease and NHISS score before thrombolysis（P>0.05）；The production of END in ACI patients after thrombolysis was directly related to diabetes mellitus，infarction type and hypertension （P1，P

【Key Words】Acute cerebral infarction； Thrombolysis； Early neurological deterioration； Influence factor

急性腦梗死（acute cerebral infarction，ACI）是指患者腦部供血出現(xiàn)突然中斷，致使患者腦組織出現(xiàn)低氧、缺血、壞死等情況[1-2]。（剩余4148字）