摘要
目的:探讨影响大脑中动脉闭塞(MCAO)患者死亡的相关因素。方法:选取经头颈部CTA或MRA证实存在MCAO的患者119例进行随访,以死亡为结局指标,将相关因素进行统计学分析。结果:119例MCAO患者中,失访17例(14.28%),平均随访46.8个月,其中死亡20例(死亡组),存活82例(存活组)。死亡组的年龄、冠心病史比例、血沉、高敏C反应蛋白、纤维蛋白原、D-二聚体、同型半胱氨酸、谷草转氨酶、白蛋白、尿素氮水平高于存活组(P<0.05),饮酒史比例、甘油三酯水平低于存活组(P<0.05)。Logistic回归分析显示年龄为死亡独立危险因素。结论:MCAO患者年龄越大,死亡风险越高。
Objective： To analyze the related factors of death on patients after middle cerebral artery occlusion （MCAO）. Methods： One hundred and ninteen MCAO patients confirmed by the head and neck CTA or MRA were collected retrospectively and followed-up. Death was chosen as the primary outcome, and the related factors were analyzed. Results：In the 119 cases, 17 cases （14.28%） were lost during the follow-up. The average follow-up time was 46.8 months. According to the primary outcome, the patients with MCAO were divided into death group （20 cases） and survival group （82 cases）. The age, proportion of coronary heart disease, ESR, high-sensitivity C-reactive protein, fibrinogen, D-dimer, homocysteine, aspartate aminotransferase, albumin, blood urea nitrogen levels in the death group were significantly higher than those of the survival group（P〈0.05）, respectively. The proportion of alco-hol-drinking history, triglyceride levels in death group were significantly lower than those of the survival group （P〈0.05）. Logistic regression analysis showed that age was an independent risk factor for the death. Conclusion：The elder MCAO patients have higher death rate.
出处
《神经损伤与功能重建》
2015年第5期387-389,共3页
Neural Injury and Functional Reconstruction
基金
国家自然科学基金(No.81371355)
北京市自然科学基金(No.7142045)
关键词
大脑中动脉闭塞
危险因素
死亡
middle cerebral artery occlusion
risk factors
death
