急性脑卒中患者腹泻并发症的临床分析

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(P0.05),有无糖尿病的并发腹泻发生率差异有统计学意义(P0.05),抗生素使用的并发腹泻发生率差异有统计学意义(P0.05),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(P0.05)。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。

Clinical Analysis of Diarrhea Complications in Patients with Acute Stroke

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.