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目的:了解78例脑出血者的年龄和意识状态的临床意义。方法:年龄以59岁开始,每10岁为一组;意识状态采用Glasgow昏迷评分法,患者入院首次计分,应用HP微机,SAS6.03软件分析GCS与脑出血量,部位及存活时间关系。结果:每增大1岁,死亡的危险性增加1.65~3.41倍。意识状态与存活时间存在正相关(r=0.75,P<0.01)而与出血量呈负相关(脑叶r=-0.8002,P<0.01;基底节r=-0.7987,P<0.01)。结论:年龄和意识状态是急性脑出血早期死亡的预测因素。年龄越大,死亡率越高;意识状态越差,存活时间超短,也说明脑出血量大,容易导致死亡,脑干出血意识状态最差。
Objective: To understand the clinical significance of 78 patients with cerebral hemorrhage in the age and state of consciousness. Methods: The age was 59 years old, every 10 years old as a group. Consciousness was assessed by Glasgow Coma Scale. The patients were admitted to hospital for the first time. HP Computer and SAS6.03 software were used to analyze the relationship between GCS and cerebral hemorrhage, location and survival time. Results: Each 1-year-old increased the risk of death by 1.65 to 3.41 times. There was a positive correlation between the state of consciousness and the survival time (r = 0.75, P <0.01), but negatively correlated with the amount of bleeding (r = -0.8002, P <0.01; .7987, P <0.01). Conclusion: Age and state of consciousness are predictors of early death in acute ICH. The older, the higher the mortality rate; the worse the state of consciousness, survival time is too short, also shows a large amount of cerebral hemorrhage, easily lead to death, the worst sense of brainstem hemorrhage.