刘郑, 穆景颂, 刘海华, 卢节平. 缺血性脑卒中偏瘫病人健侧下肢深静脉血栓形成的相关因素分析[J]. 蚌埠医学院学报, 2020, 45(11): 1518-1520, 1524. DOI: 10.13898/j.cnki.issn.1000-2200.2020.11.018
    引用本文: 刘郑, 穆景颂, 刘海华, 卢节平. 缺血性脑卒中偏瘫病人健侧下肢深静脉血栓形成的相关因素分析[J]. 蚌埠医学院学报, 2020, 45(11): 1518-1520, 1524. DOI: 10.13898/j.cnki.issn.1000-2200.2020.11.018
    LIU Zheng, MU Jing-song, LIU Hai-hua, LU Jie-ping. Analysis of the related factors of deep venous thrombosis of healthy side lower extremity in hemiplegia patients after ischemic stroke[J]. Journal of Bengbu Medical College, 2020, 45(11): 1518-1520, 1524. DOI: 10.13898/j.cnki.issn.1000-2200.2020.11.018
    Citation: LIU Zheng, MU Jing-song, LIU Hai-hua, LU Jie-ping. Analysis of the related factors of deep venous thrombosis of healthy side lower extremity in hemiplegia patients after ischemic stroke[J]. Journal of Bengbu Medical College, 2020, 45(11): 1518-1520, 1524. DOI: 10.13898/j.cnki.issn.1000-2200.2020.11.018

    缺血性脑卒中偏瘫病人健侧下肢深静脉血栓形成的相关因素分析

    Analysis of the related factors of deep venous thrombosis of healthy side lower extremity in hemiplegia patients after ischemic stroke

    • 摘要:
      目的研究缺血性脑卒中偏瘫病人健侧下肢深静脉血栓(DVT)的发生率及其危险因素。
      方法回顾分析缺血性脑卒中偏瘫病人147例,入院后完善血常规、凝血象、D-二聚体及双侧下肢静脉彩超检查。根据健侧下肢有无血栓,分为健侧伴DVT组(18例)和健侧不伴DVT组(129例),比较2组病人各指标有无差异。
      结果2组病人年龄、凝血功能指标、血小板计数、肺部感染发生率、合并高血压、糖尿病和心房颤动(房颤)率差异均无统计学意义(P>0.05),健侧伴DVT组D-二聚体、意识障碍发生率、呼吸机使用率高于健侧不伴DVT组(P < 0.05~P < 0.01)。
      结论意识障碍和使用呼吸机是缺血性脑卒中偏瘫病人健侧DVT的危险因素,肺部感染可能是潜在危险因素。对存在这些危险因素的病人,健侧下肢血栓的筛查应受到重视。

       

      Abstract:
      ObjectiveTo investigate the incidence rate and risk factors of deep venous thrombosis(DVT) in the healthy side lower extremity in hemiplegia patients after ischemic stroke.
      MethodsA total of 147 ischemic stroke patients with hemiplegia were retrospectively analyzed.After admission, the blood routine examination, blood coagulation image, D-dimer and color ultrasound examination in all cases were implemented According to the thrombosis of the healthy side lower extremity, the patients were divided into the healthy side complicated with DVT group(18 cases) and healthy side complicated without DVT group(129 cases).The indexes between two groups were compared.
      ResultsThere was no statistical significance in the age, coagulation function, platelet count, incidence rate of pulmonary infection, complicated with hypertension, diabetes and atrial fibrillation rate between two groups(P>0.05).The D-dimer, incidence rate of consciousness disorder and ventilator utilization rate in healthy side complicated with DVT group were higher than those in healthy side complicated without DVT group(P < 0.05 to P < 0.01).
      ConclusionsDisturbance of consciousness and use of ventilator are the risk factors of DVT in the healthy side of patients with hemiplegia after ischemic stroke, and lung infection may be a potential risk factor.For patients with these risk factors, the screening of healthy side lower limb thrombosis should be paid more attention.

       

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