缺血性卒中患者静脉溶栓后不良预后危险因素的研究现状

doi:10.3969/j.issn.1673-5765.2020.12.016

摘要/Abstract

摘要：

急性缺血性卒中静脉溶栓的患者临床预后可受疾病严重程度、发病到溶栓的时间、脑小血管病、血糖水平、中性粒细胞计数、血小板计数、溶栓后再灌注损伤及出血转化等多种因素的影响。本文从流行病学、溶栓前后影响缺血性卒中静脉溶栓预后的危险因素及相关预测模型进行文献复习，旨在加强对缺血性卒中患者静脉溶栓后不良预后危险因素及相关预测模型的认识，为其防治提供理论依据和临床指导。

文章导读： 溶栓前后缺血性卒中患者多种临床因素都可能会影响预后，除了对单个可能影响因素的研究外，目前临床也开发了不同的预测模型和量表，以期综合不同指标能更准确地预测缺血性卒中患者溶栓的预后。

关键词: 缺血性卒中; 静脉溶栓; 预后; 危险因素

Abstract:

Clinical prognosis in patients treated with intravenous thrombolysis is affected by multiple factors, such as: stroke severity, onset to needle time, cerebral small vessel disease, blood sugar level, neutrophil count, platelet count, reperfusion injury and hemorrhage transformation after intravenous thrombolysis. We reviewed the literatures on epidemiology of intravenous thrombolysis, pre- and post-thrombolysis risk factors affecting the prognosis, and related prediction models, to provide theoretical basis and reference for clinical practice.

Key words: Ischemic stroke; Intravenous thrombolysis; Prognosis; Risk factor

黄丽红，刘光维. 缺血性卒中患者静脉溶栓后不良预后危险因素的研究现状[J]. 中国卒中杂志, 2020, 15(12): 1352-1359.

HUANG Li-Hong, LIU Guang-Wei. A Review on Risk Factors Associated with Poor Prognosis after Intravenous Thrombolysis in Ischemic Stroke Patients[J]. Chinese Journal of Stroke, 2020, 15(12): 1352-1359.

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