急性脑梗死溶栓治疗患者早期神经功能恶化的影响因素

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【摘要】目的：分析急性脑梗死（ACI）溶栓治疗患者早期神经功能恶化（END）的影响因素。方法：选择100例ACI患者，均实施溶栓治疗，依据患者病情分为对照组（未发生END）和END组，分析END的影响因素。结果：单因素分析，ACI患者实施溶栓后产生END与性别、心房颤动、冠心病和溶栓前NHISS评分无关（P>0.05）；ACI患者实施溶栓后产生END与糖尿病、梗死分型及高血压具有直接关系（P1，P

【关键词】急性脑梗死；溶栓；早期神经功能恶化；影响因素

Influencing factors of early neurological deterioration in patients with acute cerebral infarction treated with thrombolytic therapy

HE Wenmin

Department of Neurology， Suixi County People’s Hospital， Zhanjiang City， Guangdong， Zhanjiang， Guangdong 524300， China

【Abstract】Objective：To analyze the influencing factors of early neurological deterioration （END） in patients with acute cerebral infarction （ACI） undergoing thrombolytic therapy.Methods：100 patients with ACI were selected and treated with thrombolysis，they were divided into the control group （no END） and the END group according to their condition，and the influencing factors of END were analyzed. Results：Univariate analysis showed that END in ACI patients after thrombolysis was not related to gender，atrial fibrillation，coronary heart disease and NHISS score before thrombolysis（P>0.05）；The production of END in ACI patients after thrombolysis was directly related to diabetes mellitus，infarction type and hypertension （P1，P

【Key Words】Acute cerebral infarction； Thrombolysis； Early neurological deterioration； Influence factor

急性脑梗死（acute cerebral infarction，ACI）是指患者脑部供血出现突然中断，致使患者脑组织出现低氧、缺血、坏死等情况[1-2]。（剩余4148字）