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ICU缺血性脑卒中患者下肢深静脉血栓形成危险因素分析

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目的:分析重症监护室(ICU)缺血性脑卒中患者下肢深静脉血栓形成(DVT)发生的危险因素.方法:回顾性分析 2021 年 5 月—2023 年 4 月贵州医科大学附属医院收治的 96 例ICU缺血性脑卒中患者的临床资料,统计其DVT发生率;收集患者的年龄、性别等资料,分析患者DVT发生的危险因素.结果:96 例ICU缺血性脑卒中患者中,共有 28 例发生DVT,占比 29.17%.单因素分析显示:发生组的年龄>60 岁、体重指数(BMI)>24 kg/m2、有高血压史、有糖尿病史、C反应蛋白(CRP)水平>10 mg/L、D-二聚体(D-D)水平>0.5 mg/L占比均高于未发生组,差异均有统计学意义(P<0.05);两组性别、吸烟史、饮酒史、高脂血症占比相比,差异均无统计学意义(P>0.05).logistic回归分析显示:年 龄>60 岁[OR=7.459,95%CI(2.804,19.846)]、BMI>24 kg/m2[OR=2.833,95%CI(1.144,7.017)]、有高血压史[OR=3.796,95%CI(1.464,9.846)]、有糖尿病史[OR=5.160,95%CI(1.923,13.849)]、CRP>10 mg/L[OR=7.667,95%CI(2.721,21.601)]、D-D>0.5 mg/L[OR=2.908,95%CI(1.165,7.258)]是ICU缺血性脑卒中患者DVT发生的独立危险因素(P<0.05).结论:ICU缺血性脑卒中患者DVT发生风险较高,其发生的危险因素包括年龄>60 岁、BMI>24 kg/m2、有高血压史、有糖尿病史、CRP>10 mg/L、D-D>0.5 mg/L.
Analysis of Risk Factors for Lower Limb Deep Vein Thrombosis in ICU Ischemic Stroke Patients
Objective:To analyze the risk factors for the development of lower limb deep venous thrombosis(DVT)in patients with ischemic stroke in intensive care unit(ICU).Method:A retrospective analysis was conducted on the clinical data of 96 ICU ischemic stroke patients admitted to the Affiliated Hospital of Guizhou Medical University from May 2021 to April 2023,and the incidence of DVT was calculated;the age,gender,and other data of patients were collected to analyze the risk factors of DVT.Result:Among the 96 ICU patients with ischemic stroke,28 patients had DVT,accounting for 29.17%.Univariate analysis showed that age>60 years,body mass index(BMI)>24 kg/m2,history of hypertension,history of diabetes,C reactive protein(CRP)level>10 mg/L,D-dimer(D-D)level>0.5 mg/L in the occurrence group were higher than those in the non occurrence group,the differences were statistically significant(P<0.05);there were no statistically significant differences in gender,smoking history,alcohol history,and proportion of hyperlipidemia in the two groups(P>0.05).logistic regression analysis showed that:age>60 years[OR=7.459,95%CI(2.804,19.846)],BMI>24 kg/m2[OR=2.833,95%CI(1.144,7.017)],a history of hypertension[OR=3.796,95%CI(1.464,9.846)],a history of diabetes mellitus[OR=5.160,95%CI(1.923,13.849)],CRP>10 mg/L[OR=7.667,95%CI(2.721,21.601)],D-D>0.5 mg/L[OR=2.908,95%CI(1.165,7.258)]were independent risk factors for DVT in ischemic stroke patients in the ICU(P<0.05).Conclusion:The risk of DVT in patients with ischemic stroke in ICU is high.The risk factors of DVT include age>60 years old,BMI>24 kg/m2,history of hypertension,history of diabetes,CRP>10 mg/L,D-D>0.5 mg/L.

Ischemic strokeIntensive care unitDeep venous thrombosis of lower limbsRisk factors

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贵州医科大学附属医院神经内科 贵州 贵阳 550004

缺血性脑卒中 重症监护室 下肢深静脉血栓形成 危险因素

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(8)
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