| 高文勇 何萍 艾艳萍 徐鹏展 吴琼莹.急性脑卒中患者腹泻并发症的临床分析[J].现代生物医学进展英文版,2014,14(25):4921-4923. |
| 急性脑卒中患者腹泻并发症的临床分析 |
| Clinical Analysis of Diarrhea Complications in Patients with Acute Stroke |
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| DOI： |
| 中文关键词: 脑卒中 腹泻 危险因素 |
| 英文关键词: Acute stroke Diarrhea Risk factor |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨急性脑卒中患者并发腹泻的发生状况及危险因素，以降低脑卒中并发腹泻的发生率。方法：对264例急性脑卒中
患者观察腹泻并发症的发生，分析一般临床资料，使用Logistic 回归分析腹泻并发症的可能危险因素。结果：不同类型急性脑卒中
并发腹泻发生率差异无统计学意义（P＞0.05），有无糖尿病的并发腹泻发生率差异有统计学意义（P＜0.05），抗生素使用的并发腹
泻发生率差异有统计学意义（P＜0.05），腹泻并发症的发生与患者年龄、入院时GCS昏迷量表评分、营养状况、糖尿病史、抗生素
使用有关（OR=4.36、8.78、4.48、6.26、5.64），腹泻组和非腹泻组病死率差异有统计学意义（P＜0.05）。结论：急性脑卒中的患者易发
生腹泻，合理选择和使用抗生素，合理饮食，尽量减少医疗干预措施的影响，可减少腹泻并发症的发生。 |
| 英文摘要: |
| Objective:To study the frequency of diarrhea complications and its risk factors in patients with acute stroke. To reduce
the incidence of diarrhea complications in stroke.Methods:264 patients with the Diarrhea complications were studied in two hundred
and sixty-four patients with acute stroke. The clinical data were analyzed. The risk factors of diarrhea complications were evaluated via
logistic regression analysis.Results:There was no significant difference in incidence of diarrhea in different types of acute stroke (P>0.
05), the incidence of diarrhea has significance difference in the presence or absence of diabetes (P<0.05), the incidence of diarrhea in
cases with and without antibiotics application has significance difference (P<0.05), diarrhea has correlation with patient age, admission
GCS coma Scale score, nutritional status, history of diabetes, use of antibiotics (OR=4.36, 8.78, 4.48, 6.26, 5.64), the mortality rate of
diarrhea groups and non-diarrheal has significance difference (P<0.05).Conclusion:For patients with acute stroke prone to diarrhea,
rational selection and use of antibiotics, reasonable diet and less medical intervention can reduce diarrhea complications. |
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