脑梗死患者低磷血症的临床意义探讨.docVIP

老年脑梗死患者低血磷的临床意义探讨 李英梅 李彩荣 余雪君 刘欣艳 张莉 刘闻莺 韩敏 车在前 杨根妹 【摘要】 目的 本研究旨在探讨发生低血磷的老年前循环脑梗死患者的临床特点及其预后。 方法 回顾性分析我院老年科资料完整的前循环脑梗死患者,收集其临床资料并随访其临床结局。按照不同血磷水平分组，分析两组患者的临床特点及预后。 结果 入选患者共183例，男女比例1.51:1；低血磷发生率22.95%，住院期间病死率为13.11％。入院时低血磷组患者，院内感染的发生率增加。其住院天数、抗生素使用时间、转入ICU及死亡率高于对照组。1年内住院率及死亡率两组患者无差别。出院时低血磷组患者1年内再住院率及死亡率增加。 结论 血磷水平在一定程度上反映了前循环脑梗死患者的病情严重程度，有助于判断临床预后。 【关键词】脑梗死；低血磷；预后 To discuss the clinical significance of the hypophosphatemia in elderly patients with cerebral infarction. *LI Ying-mei, LI Cai-rong,YU Xue-jun,Liu Xin-yan,ZHANG Li,LIU Wen-ying,HAN Min, CHE Zai-qian，YANG Gen-mei, , *Department of geriatric,Shang Hai Putuo Hospital,University of Traditional Chinese Medicine,Shanghai 200062,China　 Corresponding author:Yang Genmei, E-mail:yanggenmei@; Co-corresponding author,Che Zaiqian, E-mail: chezaiqian@163.com 【Abstract】 Objective To investigate the clinical characteristics and prognosis of hypophosphatemia in elderly patients with anterior circulation cerebral infarction. Methods We analyzed retrospectively the data of the patients with anterior circulation cerebral infarction with complete data in the geriatric department of our hospital，and collected the clinical data and followed up the clinical outcomes. The patients were divided into 2 groups according to the different blood phosphorus levels, the clinical characteristics and prognosis were analyzed. Results A total of 183 cases were enrolled, the sex ratio was 1.51:1. The incidence of hypophosphatemia was 22.95% and the inhospital mortality was 13.11%. The incidence of nosocomial infection in hypophosphatemia group on admission was increased. The hospitalization days, antibiotics consumption and ICU transfer rate and mortality were higher than those of normal blood phosphorus group. There was no difference in the hospitalization rate and mortality of two groups within 1 year. Rehospitalization rate and mortality were higher in hypophosphatemia group at discharge within 1 year. Conclusions Ph