摘要
目的:对预测自发性脑出血短期预后的相关危险因素进行分析。方法:回顾性分析自发性脑出血患者的临床资料。将可能影响发病后30 d临床结局的危险因素进行单因素分析及多因素Logistic回归分析。结果:纳入自发性脑出血患者418例,其中结局良好组105例,结局不良组146例。年龄≥75岁(OR=2.57,P<0.01)、幕下来源血肿(OR=6.51,P<0.01)、血肿体积≥30 cm^3(OR=13.41,P<0.01)、收缩压≤110或≥200 mm Hg(OR=4.05,P<0.01)、血肿破入脑室(OR=4.01,P<0.01)、合并慢性疾病(OR=4.18,P<0.01)为自发性脑出血短期预后不良的独立危险因素。结论:明确自发性脑出血短期预后不良的相关因素可指导临床决策。
Objective：To identify risk factors which may be closely associated with short-term clinical outcomes in patients with spontameous intracerebral hemorrhage（SICH）. Methods： A retrospective study with SICH patients was performed. Univariate analysis and multivariate logistic regression analysis were performed to determine the risk factors. Results： In all 418 patients with SICH were enrolled, including 105 cases in favorable outcome group and 146 cases in poor outcome group. Independent prognostic factors of 30-day poor outcome after SICH were, age≥75 years （OR=2.57, P〈0.01）, comorbidities （OR=4.18, P〈0.01）, systolic blood pressure ≤110 or ≥200 mmHg （OR=4.05, P〈0.01）, presence of intraventricular hematoma （OR=4.01, P〈0.01）, hematoma volume ≥30 cm^3 （OR=13.41, P〈0.01） and infratentorial hematoma （OR=6.51, P〈0.01）. Conclusion： Factors analysis for prediction of short-term clinical outcome could help to stratify SICH patients with regard to short-term clinical outcome.
出处
《神经损伤与功能重建》
2015年第6期480-483,共4页
Neural Injury and Functional Reconstruction
关键词
脑出血
危险因素
结局
预后
多因素分析
intracerebral hemorrhage
risk factors
outcome
prognosis
Logistic regression analysis
