摘要
目的探讨幕上高血压性脑出血神经功能恢复的影响因素。方法回顾性分析68例幕上高血压性脑出血患者的病历资料，采用单因素和多因素Logistic回归法分析法对患者神经功能和相关指标的改变进行分析。结果性别、收缩压、舒张压、血红细胞计数等对预后的影响均无统计学意义（均P〉0．05）；中位线偏移、医院感染、手术、消化道出血、心力衰竭、治疗前Barthel指数（BI）对预后影响均有统计学意义（均P〈0．01）。经单因素分析后选出的因素进行多因素分析证实中位线偏移、医院感染、出血量、消化道出血、心力衰竭、BI指数是影响预后神经功能恢复的主要因素。结论影响神经功能恢复的上述因素是改善神经功能预后的重要环节，应给予重视。
Objective To explore the influencing factors of hypertensive cerebral hemorrhage in 68 patients with supratentorial prognosis of recovery of neurological function. Methods Clinical data of 68 patients with high blood pressure treatment supratentorial intracerebral hemorrhage, and brain CT, laboratory data were retrospectively analyzed. Neurological functions and related indicators change of were daalyzed by univariate and multivariate Logistic regression analysis . Results Gender, systolic blood pressure, diastolic blood pressure, red blood cell count, such as the impact on the prognosis was not statistically significant（ all P 〉 0.05 ） ;median line offset, nosocomial infections, surgery, gastrointestinal bleeding, heart failure, treatment Barthel index（BI） were a significant influence on the prognosis （ all P 〈 0.01 ）. The median line offset, nosoeomial infections, bleeding, gastrointestinal bleeding, heart failure, BI integration were the main factors affecting the prognosis of neurological function recovery. Conclusion The factors which affects nerve function recovery is an important part of improving neurological outcomes. We should emphasize them.
出处
《中国基层医药》
CAS
2013年第8期1129-1131,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
颅内出血
高血压性
影响因素
预后
Cerebral hemorrhage, hypertensive
Influencing factors
Prognosis
