消化道出血对急性重症脑梗死患者近期预后的影响

Influence of gastrointestinal hemorrhage on the recent prognosis of patients with acute severe cerebral infarction

目的观察消化道出血对急性重症脑梗死患者近期预后的影响。方法 63例合并消化道出血的急性重症脑梗死患者为观察组,另选择同时期60例未合并消化道出血的急性重症脑梗死患者为对照组,比较2组预后。结果观察组神经功能缺损评分(NIHSS评分)、意识障碍程度(GCS评分)以及病死率均明显劣于对照组(P<0.05);观察组消化道出血24h内NIHSS评分、GCS评分、病死率均明显劣于出血24h后(P<0.05)。结论急性重症脑梗死患者合并消化道出血的近期预后较差,出血24h内神经功能损害严重,病死率高,早期积极预防消化道出血利于改善患者预后。

Objective To observe the influence of gastrointestinal hemorrhage on the recent prognosis of patients with acute severe cerebral infarction .Methods Sixty-three cases with acute severe cerebral infarction combined with gastrointestinal hemorrhage were selected as the observation group ,and 60 cases with acute severe cerebral infarction without the combination of gastrointestinal hemorrhage were selected as the control group .The difference of prognosis of two groups was compared .Re‐sults NIHSS score ,GCS score and clinical mortality of the observation group was evidently worse than that of the control group（P〈0.05） .NIHSS score ,GCS score and clinical mortality for gastrointestinal hemorrhage in 24h of the observation group was evidently worse than that for gastrointestinal hemorrhage after 24h（P〈0.05） .Conclusion The recent prognosis of patients with acute severe cerebral infarction combined with gastrointestinal hemorrhage is worse ,the neurological impairment for bleeding in 24h is bad ,and the mortality is high .Early prevention from gastrointestinal hemorrhage is good for improving the prognosis of patients .