[1]于红春,龙达志,曾良玉,等.普外科术后继发脑梗死的多因素Logistic回归分析[J].医学信息,2019,32(18):126-128.[doi:10.3969/j.issn.1006-1959.2019.18.042]
　YU Hong-chun,LONG Da-zhi,ZENG Liang-yu,et al.Multivariate Logistic Regression Analysis of Secondary Cerebral Infarction after General Surgery[J].Journal of Medical Information,2019,32(18):126-128.[doi:10.3969/j.issn.1006-1959.2019.18.042]
点击复制

普外科术后继发脑梗死的多因素Logistic回归分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年18期
页码:
126-128
栏目:
调查分析
出版日期:
2019-09-15

文章信息/Info

Title:
Multivariate Logistic Regression Analysis of Secondary Cerebral Infarction after General Surgery
文章编号:
1006-1959（2019）18-0126-03
作者:
于红春1; 龙达志1; 曾良玉2; 易小龙2
长沙医学院附属株洲市人民医院神经内科1，普外科2，湖南 株洲 412000
Author(s):
YU Hong-chun1; LONG Da-zhi1; ZENG Liang-yu2; YI Xiao-long2
Department of Neurology1,Department of General Surgery2,Zhuzhou People's Hospital,Changsha Medical College, Zhuzhou 412000,Hunan,China
关键词:
脑梗死; 普通外科; 围手术期; 危险因素
Keywords:
Key words：Cerebral infarction; General surgery; Perioperative period; Risk factors
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2019.18.042
文献标志码:
A
摘要:
目的 探讨普外科术后并发脑梗死的高危因素，为早期识别及干预提供依据。方法 收集2013年1月~2017年12月我院普外科术后发生脑梗死患者及同期其它手术患者共2835例的临床资料，通过多因素Logistic回归分析确定普外科术后并发脑梗死的独立危险因素。结果 多因素回归分析显示，年龄（OR=2.001，95%CI：1.117~3.472）、手术类型（OR=2.199，95%CI：1.203~4.425）及术中低灌注（OR=2.421，95%CI：1.387~4.974）是普外科术后继发脑梗死的独立因素（P＜0.05）。结论 年龄≥65岁、恶性肿瘤手术及术中低灌注是普外科术后脑梗死形成的可能原因，早期识别高危患者及对相关高危因素进行干预，对预防普外科围手术期脑梗死的发生意义重大。
Abstract:
Abstract：Objective To investigate the risk factors of cerebral infarction after general surgery, and to provide evidence for early identification and intervention. Methods The clinical data of 2835 postoperative cerebral infarction patients and other surgical patients in our hospital from January 2013 to December 2017 were collected. Multivariate logistic regression analysis was used to determine the independent risk factors for postoperative cerebral infarction.Results Multivariate regression analysis showed age (OR=2.001, 95%CI:1.117~3.472), type of surgery (OR=2.199, 95%CI:1.203~4.425) and intraoperative hypoperfusion (OR=2.421, 95%CI:1.387~4.974) was an independent factor of secondary cerebral infarction after general surgery (P<0.05). Conclusion Age≥65 years old, malignant tumor surgery and intraoperative hypoperfusion are the possible causes of cerebral infarction after general surgery. Early identification of high-risk patients and intervention of related high-risk factors can prevent the occurrence of perioperative cerebral infarction in general surgery.

参考文献/References:

[1]段春梅,邹飒枫.脑梗死危险因素研究进展[J].中国实用神经疾病杂志,2012,15(3):93-95. [2]韦珊珊,刘敬臣.围术期脑梗死相关危险因素的病例对照研究[J].广西医科大学学报,2016,33(6):1044-1046. [3]陈修芬,鞠春成,刘玉艳,等.普外科手术后期并发脑梗死患者的相关危险因素病例对照研究[J].现代生物医学进展,2014,32(14):6321-6324. [4]邓小明,姚尚龙,于布为,等.现代麻醉学[M].第4版.北京:人民卫生出版社,2014:1002. [5]李秀婷,陈娟,赵书娥,等.骨科围手术期并发脑梗死患者危险因素识别与预防策略[J].河北医科大学学报,2016,37(7):831-834. [6]张克云,田华,饶文胜,等.髋关节置换术后脑梗死的危险因素分析[J].中国医学杂志,2010,90(15):1044-1047. [7]陈运红,田成林.外科手术后缺血性脑卒中的发生规律及危险因素分析[J].中华老年心脑血管病杂志,2012,14(7): 731-733. [8]Kim D,Lee SH,Joon Kim B,et al.Secondary prevention by stroke subtype:a nationwide follow-up study in 46108 patients after acuteischaemic stroke[J].Eur Heart J,2013,34(35):2760-2767. [9]刘丝濛,岳云.非心血管非神经外科手术围术期脑卒中[J].临床麻醉学杂志,2016,32(3):298-302. [10]郭晓斌,刘苹,梁俊生,等.老年骨科围手术期患者脑卒中风险控制研究[J].中国骨与关节损伤杂志,2013,28(10):991-992. [11]Selim M.Perioperative Stroke[J].N Engl J Med,2007,356(7):706-713.

相似文献/References:

[1]刘海威.延续性护理对脑梗死运动功能障碍患者生活质量及社会支持的影响[J].医学信息,2018,31(02):160.[doi:10.3969/j.issn.1006-1959.2018.02.062]
　LIU Hai-wei.Effect of Continuous Nursing on Quality of Life and Social Support in Patients with Motor Dysfunction of Cerebral Infarction[J].Journal of Medical Information,2018,31(18):160.[doi:10.3969/j.issn.1006-1959.2018.02.062]
[2]廖昌燕,左美玉,蓝燕红,等.活结系于单侧鼻导管固定留置胃管在普外科的应用效果观察[J].医学信息,2018,31(03):183.[doi:10.3969/j.issn.1006-1959.2018.03.069]
　LIAO Chang-yan,ZUO Mei-yu,LAN Yan-hong,et al.Effect of Fixed Indwelling Gastric Tube on Living Knot Unilateral Nasal Catheter in General Surgery[J].Journal of Medical Information,2018,31(18):183.[doi:10.3969/j.issn.1006-1959.2018.03.069]
[3]韩艳庆,董 成,徐 玲.脑梗死并发急腹症诊治分析[J].医学信息,2018,31(06):188.[doi:10.3969/j.issn.1006-1959.2018.06.068]
　HAN Yan-qing,DONG Cheng,XU Ling.Analysis of Diagnosis and Treatment of Acute Cerebral Infarction Complicating Acute Abdominal Disease[J].Journal of Medical Information,2018,31(18):188.[doi:10.3969/j.issn.1006-1959.2018.06.068]
[4]王明远,陈海燕,张延朋,等.颈动脉斑块、血同型半胱氨酸及血尿酸对短暂性脑缺血 发作进程的影响研究[J].医学信息,2018,31(08):65.[doi:10.3969/j.issn.1006-1959.2018.08.020]
　WANG Ming-yuan,CHEN Hai-yan,ZHANG Yan-peng,et al.Effects of Carotid Plaque,Homocysteine and Serum Uric Acid on Transient Ischemic Attack[J].Journal of Medical Information,2018,31(18):65.[doi:10.3969/j.issn.1006-1959.2018.08.020]
[5]甘雪梅.系统护理对脑梗死患者生活质量及满意度的影响[J].医学信息,2018,31(08):172.[doi:10.3969/j.issn.1006-1959.2018.08.062]
　GAN Xue-mei.Effect of Systematic Nursing on Quality of Life and Satisfaction of Patients with Cerebral Infarction[J].Journal of Medical Information,2018,31(18):172.[doi:10.3969/j.issn.1006-1959.2018.08.062]
[6]单 敏,常燕燕,赵大鹏,等.急性前循环脑梗死患者梗死体积与 血清NSE水平相关性研究[J].医学信息,2018,31(10):1.[doi:10.3969/j.issn.1006-1959.2018.10.001]
　SHAN Min,CHANG Yan-yan,ZHAO Da-peng,et al.Correlation between Infarct Volume and Serum NSE Level in Patients with Acute Anterior Circulation Cerebral Infarction[J].Journal of Medical Information,2018,31(18):1.[doi:10.3969/j.issn.1006-1959.2018.10.001]
[7]陈艳男,徐 劲.脑梗死患者血清SAA、hs-CRP与颅内动脉粥样硬化狭窄程度的相关性[J].医学信息,2022,35(09):120.[doi:10.3969/j.issn.1006-1959.2022.09.030]
　CHEN Yan-nan,XU Jin.Correlation Between Serum SAA, hs-CRP and Intracranial Atherosclerotic Stenosis in Patients with Cerebral Infarction[J].Journal of Medical Information,2022,35(18):120.[doi:10.3969/j.issn.1006-1959.2022.09.030]
[8]李福滔,张素平.单侧颈内动脉夹层致脑梗死1例报道[J].医学信息,2018,31(11):191.[doi:10.3969/j.issn.1006-1959.2018.11.065]
[9]张怀祥,段晓宇.脑梗死后认知障碍的病理学机制、相关危险因素及治疗[J].医学信息,2018,31(16):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
　ZHANG Huai-xiang,DUAN Xiao-yu.Pathological Mechanism,Related Risk Factors and Treatment of Cognitive Impairment after Cerebral Infarction[J].Journal of Medical Information,2018,31(18):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
[10]柳 星,卢会琴.脑梗死恢复期的临床路径实施效果分析[J].医学信息,2018,31(19):128.[doi:10.3969/j.issn.1006-1959.2018.19.038]
　LIU Xing,LU Hui-qin.Analysis of Clinical Path Implementation in the Recovery Period of Cerebral Infarction[J].Journal of Medical Information,2018,31(18):128.[doi:10.3969/j.issn.1006-1959.2018.19.038]

更新日期/Last Update: 2019-09-15