摘要
目的探讨急性脑卒中并发上消化道出血的相关关系及其对病死率的影响,以及脑卒中合并高血压、糖尿病时与上消化道出血的相关关系。方法将1 992例急性脑卒中患者和上消化道出血之间的关系进行相关性分析,并分析其和病死率的关系,同时将106例脑卒中合并上消化道出血的患者分别和高血压、糖尿病之间的关系也进行相关性分析。结果急性脑卒中和上消化道出血有相关性,且出血性卒中更易合并上消化道出血,合并上消化道出血更易导致脑卒中患者的死亡,且出血性卒中合并上消化道出血比缺血性卒中更易导致患者的死亡;脑卒中合并高血压、糖尿病和上消化道出血也相关,且合并有高血压比糖尿病更易在此类患者中出现。结论对于急性脑卒中患者,尤其是合并高血压、糖尿病的患者,应在卒中早期积极防治上消化道出血,从而改善预后。
Objective To study the relation between acute cerebral apoplexy and upper gastrointestinal bleeding and the impact on mortality. To study the relation between cerebral apoplexy and hypertension, diabetes mellitus and upper gastrointestinal bleeding. Methods In 1992 cases,to analyze the relationship between acute cerebral apoplexy and upper gastrointestinal bleeding and mortality. At the same time, in 106 cases,to analyze the relationship between cerebral apoplexy comphcated with upper gastrointestinal bleeding in patients of hypertension and diabetes mellitus. Results Acute cerebral apoplexy and upper gastrointestinal bleeding were related.Hemorrhagic stroke was more easily complicated with hemorrhage of upper digestive tract. Complicated with hemorrhage of upper digestive tract, stroke patients were more likely to result in death. Stroke and hypertension, diabetes mellitus and hemorrhage of upper digestive tract were related. Conclusion Patients with acute cerebral apoplexy, especially complicated with hypertension and diabetes mellitus should actively prevent and treat of upper gastrointestinal bleeding, thereby improving prognosis.
出处
《云南医药》
CAS
2012年第1期2-4,共3页
Medicine and Pharmacy of Yunnan
关键词
脑卒中
上消化道出血
高血压
糖尿病
Cerebral apoplexy
Upper gastrointestinal bleeding
Hypertension
Diabetes mellitus
