论文部分内容阅读
目的探讨非手术治疗自发性基底节区出血预后相关的因素。方法回顾性分析贵阳市第二人民医院神经外科2005年4月至2012年6月收治的109例随访资料完整的患者,采用Kaplan-Meier法进行单因素分析。Log-rank法进行生存率显著性检验,Cox比例风险回归模型作多因素分析。结果单因素分析显示入院时GOS评分、GCS评分、高血压、出血量、出血破入脑室、肺部感染及血糖与预后有关联。多因素分析显示GCS评分、出血量和血糖是自发性基底节区出血预后相关的独立危险因素。结论发病时GCS评分、出血量和血糖水平是影响患者预后的重要因素。
Objective To investigate the factors related to prognosis of non-surgical treatment of spontaneous basal ganglia hemorrhage. Methods A total of 109 patients with complete follow-up data from April 2005 to June 2012 in Department of Neurosurgery, Second People’s Hospital of Guiyang were retrospectively analyzed. Univariate analysis was performed by Kaplan-Meier method. Log-rank method was used to test the significance of survival and Cox proportional hazards regression model for multivariate analysis. Results Univariate analysis showed that admission GOS score, GCS score, hypertension, bleeding volume, hemorrhagic rupture in ventricles, pulmonary infection and blood glucose were associated with prognosis. Multivariate analysis showed that GCS score, blood loss and blood glucose were independent risk factors related to the prognosis of spontaneous basal ganglia hemorrhage. Conclusion The incidence of GCS score, bleeding and blood glucose levels are important prognostic factors in patients.