摘要
目的探讨大面积脑梗死后出血性转化相关危险因素。方法回顾性分析2009年1月至2012年12月我院收治的大面积脑梗死患者118例,分为出血性转化组(HT)53例和非出血性转化组(NHT)65例,采用Logistic回归模型分析年龄、性别、糖尿病、高血压、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、甘油三酯及总胆固醇与出血性转化的关系。结果糖尿病、低密度脂蛋白胆固醇升高增加脑梗死后出血性转化的风险(P<0.05);年龄、性别、高血压、高密度脂蛋白胆固醇、甘油三脂及总胆固醇与出血性转化无明显相关性(P>0.05)。结论患有糖尿病或低密度脂蛋白胆固醇异常的大面积脑梗死患者具有增高的出血性转化风险。
Objective To explore the risk factors of hemorrhagic transformation in acute cerebral infarction. Methods A total of 118 acute cerebral infarction patients during January 2009 to December 2012 were divided into two groups,hemorrhage transformation（HT,53 people） and non-hemorrhage transformation（NHT,65 people）.Logistic regression analysis was used to explore the relationship between various factors covering age,gender,diabetes mellitus,hypertension,low density lipoprotein cholesterol,high density lipoprotein,triglyceride,total cholesterol and HT. Results Acute cerebral infarction patients with diabetes mellitus and enhanced low density lipoprotein cholesterol had increased risk of HT.（P0.05）.But risk had no significant relationship neither with age,gender,hypertension,high density lipoprotein,triglyceride,nor total cholesterol（P0.05）. Conclusions Acute cerebral infarction patients with diabetes mellitus and enhanced low density lipoprotein cholesterol had increased risk of HT.
出处
《齐齐哈尔医学院学报》
2013年第8期1112-1114,共3页
Journal of Qiqihar Medical University
关键词
脑梗死
出血性转化
危险因素
Cerebral infarction
Hemorrhage transformation
Risk factors
