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目的研究入院清醒脑出血患者短期预后因素。方法选取2003-2009病例662例,以30d为观察终点。用GOS评分进行预后测评,选取一系列自变量,以最终结果作为因变量,对自变量进行整理后进行LO-GISTIC回归分析。结果分析表明年龄≥75岁、出血量≥30mL、体温≥37.0℃、白细胞总数≥10.0×109/L和心电图异常为30d治疗无效或死亡危险因素(P值分别为0.006、0.002、0.027、0.011、0.014)。结论高龄、较大出血量、入院时体温、血白细胞计数和血糖增高等为预后不良早期预测指标。
Objective To study the short-term prognosis of patients with sober cerebral hemorrhage. Methods 662 cases were selected from 2003 to 2009, and the end point was observed on the 30th day. The GOS score was used to evaluate the prognosis. A series of independent variables were selected, and the final result was used as the dependent variable. The independent variables were sorted out and analyzed by LO-GISTIC. Results analysis showed that age ≥75 years, bleeding ≥30mL, body temperature ≥37.0 ℃, total leukocytes ≥10.0 × 109 / L and electrocardiogram abnormalities for 30d treatment ineffective or risk factors for death (P values were 0.006,0.002,0.027,0.011, 0.014). Conclusions Elderly, more bleeding, body temperature at admission, white blood cell count and hyperglycemia are the early predictors of poor prognosis.