摘要
目的:研究脑出血患者入院后首次红细胞分布宽度(RDW)预测脑出血后30 d早期神经功能恢复情况的临床价值。方法:回顾性分析2013年01月-2016年10月我院收治的149例自发性脑出血患者临床资料。根据改良Rankin量表(mRS))量化脑出血后患者的神经功能恢复的状况,分为预后良好组(<3)和预后不良组(≥3)。使用logistic回归模型分析独立高危因素,以及其和临床结果的相关性。结果:两组中早期RDW、血小板分布宽度、格拉斯哥评分有显著性差异(P<0.05);预后不良组中早期RDW明显高于预后良好组(14.2%vs 12.8%,P<0.001);ROC分析显示当RDW取13.55为截值点时,其曲线下面积达到0.825,敏感度0.707,特异度为0.865。结论:脑出血患者早期RDW有助于协作预测发病后30 d神经功能恢复情况。
Objective：To investigate the correlation between early red cell distribution width and the neurologic outcome 30 days after intracerebral hemorrhage（ICH）. Methods：The clinical data of 149 patients with ICH treated in our hospital were retrospectively analyzed from Jan 2013 to Oct 2016.Clinical outcomes were quantified according to Modified Rankin Scale（mRS）and divided into the good prognosis group（〈3）and poor prognosis group（≥3）. The logistic regression model was used to identify independently factors associated with clinical outcomes. Results：There were significant differences in RDW,platelet distribution width,Glasgow Coma Scale between two groups（P〈0.05）.RDW was significantly higher in the poor prognosis group than the good prognosis group（14.2% vs 12.8%,P〈0.001）.The cutoff value of The RDW evaluated by ROC curve was 13.55. The area under the curve was 0.825 with sensitivity of0.707 and specificity of 0.865. Conclusion：The early RDW after onset of ICH has potential value in predicting the 30 day neurologic outcome.
出处
《岭南急诊医学杂志》
2017年第1期27-29,共3页
Lingnan Journal of Emergency Medicine
关键词
红细胞体积分布宽度
预后
脑出血
red blood cell distribution width
prognosis
intracerebral hemorrhage
