急性脑卒中患者并发消化道大出血的危险因素调查分析

目的调查分析急性脑卒中患者并发消化道大出血的独立危险因素。方法选取2017年1月至2019年1月于我院治疗的急性脑卒中患者70例为研究对象,其中并发消化道大出血38例,发生率54.29%。采用多因素logistic回归分析确定急性脑卒中患者并发消化道大出血的危险因素。结果多因素logistic回归分析显示,有饮酒史、消化道疾病,脑卒中类型和病情严重程度是急性脑卒中患者并发消化道大出血的危险因素(P<0.05)。结论急性脑卒中并发消化道大出血往往能提示增高的死亡风险,应重视其发生的危险因素,并采取相应护理。

Investigation and analysis of risk factors of patients with acute stroke and concurrent massive gastrointestinal bleeding

Objective To investigation and analysis of independent risk factors of patients with acute stroke and concurrent massive gastrointestinal bleeding.Methods To select 70 cases of patients with acute stroke who were treated in our hospital from January 2017 to January 2019 as the study subjects,including 38 cases of concurrent massive gastrointestinal bleeding,with a incidence rate of 54.29%.Multivariate logistic regression analysis was used to determine the risk factors for concurrent massive gastrointestinal bleeding in patients with acute stroke.Results Multivariate logistic regression analysis showed that history of drinking,gastrointestinal disease,type of stroke and severity of pathogenetic condition were the risk factors for concurrent massive gastrointestinal bleeding in patients with acute stroke(P<0.05).Conclusion The acute stroke and concurrent massive gastrointestinal bleeding can often indicate an increased risk of death.The risk factors should be paid attention to and appropriate nursing should be taken.