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目的分析影响老年颅内破裂动脉瘤患者的预后因素。方法总结221例老年动脉瘤性蛛网膜下腔出血患者,年龄65～87(68.1±5.2)岁,对可能影响老年患者预后的因素先进行单因素分析,挑选出有显著意义的因素进行多因素多元回归分析。结果影响患者预后的因素主要包括年龄、高脂血症、Glasgow评分、Fisher分级、入院时Hunt-Hess分级、治疗方法。其中,入院时Hunt-Hess分级、高脂血症和治疗方法是影响患者预后的重要因素。结论老年颅内破裂动脉瘤患者预后影响因素复杂;其中,高脂血症、入院时Hunt-Hess分级和治疗方法是影响预后的重要因素。
Objective To analyze the prognostic factors affecting elderly patients with ruptured intracranial aneurysms. Methods A total of 221 elderly patients with aneurysmal subarachnoid hemorrhage aged 65-87 years old (68.1 ± 5.2) years were included in this study. Univariate analysis was performed on the factors that may affect the prognosis of elderly patients. Multivariate factors Multiple regression analysis. Results The prognostic factors of the patients included age, hyperlipidemia, Glasgow score, Fisher grade, Hunt-Hess grade and treatment on admission. Among them, admission Hunt-Hess grade, hyperlipidemia and treatment is an important factor affecting the prognosis of patients. Conclusion The prognosis of elderly patients with intracranial rupture aneurysm is complex. Among them, hyperlipidemia, admission Hunt-Hess grading and treatment are important prognostic factors.