摘要
目的探讨动脉瘤性蛛网膜下腔出血（aSAH）患者发生心功能障碍与发生迟发性脑缺血（DCI）、死亡和预后不良的关系。方法 选择符合纳入标准的96例aSAH患者的临床资料，分析aSAH患者心电图、超声心动图结果及实验室指标与发生DCI、死亡、预后不良的关系。结果 最终纳入93例患者，其中55例（59.2%）发生DCI，18例（19.4%）死亡，20例（21.5%）预后不良。经Poisson分析显示，室壁运动计分指数（WMSI）〉1.1与死亡和预后不良两种结局相关，中段室壁运动异常（WMAs）与死亡相关，心尖段WMAs与DCI相关。结论 aSAH患者心功能异常与DCI、死亡及预后不良具有一定的相关性，因此本研究可为aSAH患者预后的评估提供参考。
Objective To investigate the correlation between aneurysmal subarachnoid hemorrhage （aSAH） and myocardial dysfunction （MD）. Methods Totally 96 cases of aSAH patients meeting the cri- terion were chosen, and the correlations of electrocardiograph （ECG）, and ultrasonic cardiogram （UCG） with delayed cerebral isehemia （DCI） , death and poor outcome and death were analyzed. Results Of the 93 cases of aSAH patients meeting the criterion, DCI rate was 59.2% , death rate was 19.4% , and poor outcome rate was 21.5%. With muhivariable Poisson regression analysis,the results showed that wall motion score index （WMSI） 〉 1.1 was correlated with death and poor outcome, mid-ventricular wall motion abnormality （WMAs） was correlated with death, and apical WMAs was correlated with DCI. Conclusions Myocardial dysfunction is significantly related to outcome of aSAH. Thus, this study may provide a reference for prognosis assessment and treatment of aSAH.
出处
《中国医师杂志》
CAS
2016年第7期1013-1016,共4页
Journal of Chinese Physician
