论文部分内容阅读
高龄被认为是动脉瘤性蛛网膜下腔出血(SAH)预后恶劣的危险因子之一,但有关年龄与入院时的临床特点,SAH前存在的内科情况及SAH预后之间的关系尚缺乏系统的研究。年龄本身是否对预后产生直接影响等问题尚不明了。 本文收集美国及加拿大21个神经外科中心因SAH收治的906例患者资料,并按年龄分为5组:即≤40岁,41～50岁,51～60岁,61～70岁及>70岁。 结果发现,906例平均年龄50岁,其中>60岁者占23％,各年龄组的女性多见。从发生SAH到入院的时间各年龄组无差异,但入院时意识状况与年龄明显相关(P=0.0002):<40岁者入院时昏迷的占12％,41～50岁占18％,51～60岁占24％,61～70岁占24％,>70
Elderly is considered one of the risk factors for poor prognosis of aneurysmal subarachnoid hemorrhage (SAH). However, the relationship between age and clinical features at admission, the medical conditions before SAH, and the prognosis of SAH is still lack of systematic the study. The question of whether age itself has a direct effect on prognosis is not known. This paper collects data from 906 patients admitted to 21 neurosurgery centers in the United States and Canada for SAH and is divided into five groups by age: ≤40 years old, 41-50 years old, 51-60 years old, 61-70 years old, and> 70 years old . The results showed that the average age of 906 cases was 50 years old, of which> 60 years accounted for 23%, more common in all age groups of women. There was no difference in the time from SAH admission to admission, but there was a significant correlation between age and consciousness at admission (P = 0.0002). The incidence of unconsciousness at admission was 12% in cohorts, 18% in 41-50 years old, 60% of the total 24%, 61 to 70% of 24%,> 70