摘要
目的探讨脑卒中患者发生深静脉血栓(DVT)的危险因素。方法对47例入选的的脑卒中患者空腹抽血,进行D-二聚体、抗心磷脂抗体、同型半胱氨酸、C反应蛋白等检测,同时进行双下肢血管超声检查,并通过Logistic回归分析寻找脑卒中患者发生DVT的危险因素。结果47例脑卒中患者中,13例出现了DVT,发生率为27.7%。DVT组的D-dimer、HCA、CRP水平均高于非DVT组,差异有显著性(P<0.05)。ACA在两组间未见显著性差异。经Logistic回归分析示D-二聚体和HCA是造成卒中患者发生DVT的独立危险因素。结论D-二聚体和HCA可能是造成卒中患者发生DVT的独立危险因素。
Objective To study risk factors for deep venous thrombosis （DVT） in hospitalized patients with acute stroke. Methods Forty-seven patients with acute stroke admitted to were enrolled Shanghai First People Hospital between January 2007 and February 2008. Plasma concentrations of D-dimer, antieardiolipin antibody （ACLA） , homocysteic acid （HCA） and C reactive protein （CRP） were measured. Both lower extremities vascular ultrasound examination was performed. The risk factors for DVT was determined by logistic regression analysis. Results Of the 47 cases, 13 had DVT （27.7%）. The plasma concentrations of D-dimer, HCA and CRP in the group were significantly higher than those in the non-DVT group （ P 〈 0.01 ）. There were no significant differences in the plasma ACA concentration between the two groups. Logistic regression analysis displayed that D-dimer and HCA were the risk factors for the development of DVT. Condusions D-dimer and HCA may be the independent risk factors for DVT.
出处
《国际神经病学神经外科学杂志》
2009年第2期98-101,共4页
Journal of International Neurology and Neurosurgery
关键词
脑卒中
静脉血栓形成
危险因素
Acute stroke
deep venous thrombosis
risk factor
