摘要
目的分析老年原发性脑干出血(PBH)后死亡的危险因素。方法抽取2010年10月至2018年10月在侯马市人民医院就诊的老年PBH患者86例为研究对象,收集其年龄、性别、心率等资料,分析其病发后1个月的存活情况,对PBH患者死亡的相关因素进行单因素分析及多因素Logistic回归分析。结果86例PBH患者入院后1个月死亡38例,存活48例,病死率为44.19%;年龄、高热、血糖、并发脑积水、机械通气、破入脑室、血肿体积及格拉斯哥昏迷评分(GCS)≤8分是PBH患者死亡的单一影响因素;血肿体积、GCS≤8分、血糖是影响PBH患者死亡的独立危险因素。结论年龄、高热、神志不清、血糖、并发脑积水、机械通气、破入脑室、血肿体积、及GCS≤8分等因素与老年PBH患者死亡有关,其中血肿体积、GCS≤8分、血糖是引起老年PBH患者死亡的独立危险因素。
Objective To investigate the risk factors of death after primary brainstem hemorrhage (PBH) in the elderly.Methods A total of 86 elderly PBH patients in Houma People’s Hospital from October 2010 to October 2018 were selected.Data including age, gender, heart rate and survival rate at one month after onset were collected.Univariate analysis and multivariate logistic regression analysis were used to determine the risk factors for death.Results One month after onset, 38 cases died and 48 cases survived, with case fatality rate of 44.19%. Age, high fever, blood glucose, hydrocephalus, mechanical ventilation, ventricular rupture, hematoma volume and Glasgow coma score (GCS) ≤8 were the single influencing factors of the death after PBH. Hematoma volume, GCS≤8 and blood glucose were independent risk factors of death after PBH.Conclusions Age, high fever, unconsciousness, blood glucose, hydrocephalus, mechanical ventilation, ventricular rupture, hematoma volume, and GCS≤ 8 are related to the death of elderly patients with PBH. Among them, hematoma volume, GCS≤ 8, and blood glucose are independent risk factors for the death of elderly patients with PBH.
作者
高武云
马万明
张亚军
张金云
周维黎
郗静川
Gao Wuyun;Ma Wanming;Zhang Yajun;Zhang Jinyun;Zhou Weili;Xi Jingchuan(Department of Neurosurgery,Houma People’s Hospital,Houma 043000,China)
出处
《中国实用医刊》
2020年第2期61-64,共4页
Chinese Journal of Practical Medicine
关键词
死亡
原发性脑干出血
老年人群
危险因素
Death
Primary brainstem hemorrhage
Older people
Risk factors
