首页|急性脑梗死患者发生Hp感染的危险因素

急性脑梗死患者发生Hp感染的危险因素

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目的 探讨急性脑梗死(ACI)患者幽门螺杆菌(Hp)发生的危险因素,为临床干预提供依据.方法 回顾性分析2021年1月至2022年5月南阳市中心医院收治的156例ACI患者临床资料,依据是否发生Hp感染,分为发生组73例、未发生组83例.采用多因素logistic回归分析Hp感染发生的影响因素.结果 年龄、NIHSS评分、动态动脉硬化指数、脑白质疏松程度评分、房颤、白细胞计数、白细胞介素-6、C反应蛋白、低密度脂蛋白胆固醇、丙二醛、同型半胱氨酸为Hp感染发生的独立危险因素,血清血管内皮生长因子水平为Hp感染发生的独立保护因素(P<0.05).结论 ACI患者Hp感染发生的危险因素较多,临床应提前进行筛查,并采取相应干预措施,以降低Hp感染发生率.
Risk Factors for Hp Infection in Patients with Acute Cerebral Infarction
Objective Explore the risk factors for Helicobacter pylori(Hp)occurrence in patients with acute cerebral infarction(ACI),and provide a basis for clinical intervention.Methods Retrospective analysis of clinical data of 156 ACI patients admitted to Nanyang Central Hospital from January 2021 to May 2022.Based on the occurrence of Hp infection,they were divided into an occurrence group of 73 cases and a non occurrence group of 83 cases.Multivariate logistic regression was used to analyze the factors affecting the occurrence of Hp infection.Results Age,NIHSS score,dynamic arteriosclerosis index,white matter osteoporosis score,atrial fibrillation,white blood cell count,interleukin-6,C-reactive protein,low-density lipoprotein cholesterol,malondialdehyde,homocysteine were independent risk factors for Hp infection.Serum VEGF level was an independent protective factor for Hp infection(P<0.05).Conclusion There are many risk factors for Hp infection in ACI patients,and clinical screening should be conducted in advance and corresponding intervention measures should be taken to reduce the incidence of Hp infection.

acute cerebral infarctionHelicobacter pyloririsk factors

周聪、张惠清、周上蕊、王幸、郑硕、李阳

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南阳市中心医院神经重症二病区,河南南阳 473000

急性脑梗死 幽门螺杆菌 危险因素

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(10)
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