自发性小脑出血术后远期预后影响因素分析
目的 探讨自发性小脑出血患者术后远期预后相关影响因素.方法 纳入2012年1月至2019年9月空军军医大学第二附属医院收治的121例自发性小脑出血患者,术后12个月采用改良Rankin量表(mRS)评估预后,单因素和多因素逐步法Logistic回归分析筛查术后预后不良影响因素.结果 预后不良组(mRS评分4～6分,79例)患者年龄(P=0.001)、GCS评分≤8分比例(P=0.000)、活化部分凝血活酶时间(P=0.003)、随机血糖水平(P=0.044)和呼吸机辅助通气比例(P=0.015)均高于预后良好组(mRS评分0～3分,42例),血小板计数低于预后良好组(P=0.017),两组手术...
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| Published in: | 中国现代神经疾病杂志 Vol. 22; no. 10; pp. 871 - 878 |
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| Format: | Journal Article |
| Language: | Chinese |
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710038西安,空军军医大学第二附属医院急诊科%510515 火箭军广州特勤疗养中心%036301忻州,解放军六三七一○部队医院内科
01-10-2022
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| Abstract | 目的 探讨自发性小脑出血患者术后远期预后相关影响因素.方法 纳入2012年1月至2019年9月空军军医大学第二附属医院收治的121例自发性小脑出血患者,术后12个月采用改良Rankin量表(mRS)评估预后,单因素和多因素逐步法Logistic回归分析筛查术后预后不良影响因素.结果 预后不良组(mRS评分4～6分,79例)患者年龄(P=0.001)、GCS评分≤8分比例(P=0.000)、活化部分凝血活酶时间(P=0.003)、随机血糖水平(P=0.044)和呼吸机辅助通气比例(P=0.015)均高于预后良好组(mRS评分0～3分,42例),血小板计数低于预后良好组(P=0.017),两组手术方式差异亦有统计学意义(P=0.001).Logistic 回归分析表明,高龄(OR=1.090,95％CI:1.032～1.151;P=0.002)、血清高 D-二聚体水平(OR=1.339,95％CI:1.034～1.735;P=0.027)、手术方式之开颅血肿清除术(OR=4.949,95％CI:1.310～18.691;P=0.018)和血肿穿刺引流术(OR=6.789,95％CI:1.249～36.912;P=0.027)是自发性小脑出血术后远期预后不良的主要危险因素.结论 高龄、血清高D-二聚体水平和手术方式之开颅血肿清除术、血肿穿刺引流术是自发性小脑出血术后远期预后不良的危险因素. |
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| AbstractList | 目的 探讨自发性小脑出血患者术后远期预后相关影响因素.方法 纳入2012年1月至2019年9月空军军医大学第二附属医院收治的121例自发性小脑出血患者,术后12个月采用改良Rankin量表(mRS)评估预后,单因素和多因素逐步法Logistic回归分析筛查术后预后不良影响因素.结果 预后不良组(mRS评分4～6分,79例)患者年龄(P=0.001)、GCS评分≤8分比例(P=0.000)、活化部分凝血活酶时间(P=0.003)、随机血糖水平(P=0.044)和呼吸机辅助通气比例(P=0.015)均高于预后良好组(mRS评分0～3分,42例),血小板计数低于预后良好组(P=0.017),两组手术方式差异亦有统计学意义(P=0.001).Logistic 回归分析表明,高龄(OR=1.090,95％CI:1.032～1.151;P=0.002)、血清高 D-二聚体水平(OR=1.339,95％CI:1.034～1.735;P=0.027)、手术方式之开颅血肿清除术(OR=4.949,95％CI:1.310～18.691;P=0.018)和血肿穿刺引流术(OR=6.789,95％CI:1.249～36.912;P=0.027)是自发性小脑出血术后远期预后不良的主要危险因素.结论 高龄、血清高D-二聚体水平和手术方式之开颅血肿清除术、血肿穿刺引流术是自发性小脑出血术后远期预后不良的危险因素. |
| Author | 鲁华山 李立宏 杨阳 朱宗远 张明浩 杨彦龙 赵顺忠 |
| AuthorAffiliation | 710038西安,空军军医大学第二附属医院急诊科%510515 火箭军广州特勤疗养中心%036301忻州,解放军六三七一○部队医院内科 |
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| Author_FL | YANG Yang ZHANG Ming-hao LI Li-hong ZHU Zong-yuan ZHAO Shun-zhong YANG Yan-long LU Hua-shan |
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| Author_xml | – sequence: 1 fullname: 赵顺忠 – sequence: 2 fullname: 杨彦龙 – sequence: 3 fullname: 杨阳 – sequence: 4 fullname: 鲁华山 – sequence: 5 fullname: 朱宗远 – sequence: 6 fullname: 张明浩 – sequence: 7 fullname: 李立宏 |
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| Keywords | 预后 脑出血 小脑 神经外科手术 危险因素 Logistic模型 |
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| Snippet | 目的 探讨自发性小脑出血患者术后远期预后相关影响因素.方法 纳入2012年1月至2019年9月空军军医大学第二附属医院收治的121例自发性小脑出血患者,术后12个月采用改良Rankin量表(mRS)评估预后,单因素和多因素逐步法Logistic回归分析筛查术后预后不良影响因素.结果... |
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| Title | 自发性小脑出血术后远期预后影响因素分析 |
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