脑干出血患者血糖、血压、血白细胞与预后关系探讨

目的　分析脑干出血患者血糖、血压、血白细胞与预后的关系。方法　回顾性分析我院45 例脑干出血病例,记录入院时患者收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP),血白细胞计数(WBC),血中性粒细胞比值(N),血糖(FBG),预后(死亡或存活)。以死亡和存活为二分类应变量,用SPSS 10 0 统计软件进行Binary Lo gistic回归分析。结果　脑干出血死亡率55. 60%,以桥脑出血最多见,入院时SBP、WBC、N、血糖升高,预后不良。结论　脑干出血SBP、WBC、N、血糖升高可作为脑干出血预后差的预测指标。

The relation between the prognosis of brain stem hemorrhage and the value of blood glucose,blood pressure,white blood cell counts

Objective To analyse prognosis-correlated risk factors of brain stem hemorrhage including blood glucose, blood pressure, white blood cell counts.Methods Retrospectively analyse 45 brain stem hemorrhage cases in our hospital,record the patient's following data when they were admitted:systolic blood pressure (SBP),diastolic blood pressure(DBP),mean arterial blood pressure(MAP), white blood cell count(WBC),neutrophil percentage(N),fasting blood glucose(FBG), prognoses(death or survival). Then take death and survival as binary dependent variable,make Binary Logistic Regression analysis using SPSS 10.0 statistic software.Results The mortality of brain stem hemorrhage is 55.60%,sites of bleeding are more often in pontines, the increase of SBP,WBC,N,FBG when they are admitted indicates the worse consequence.Conclusion The increase of SBP,WBC,N,FBG when patients were admitted can be taken as the poor predictive markers of prognosis.