入院清醒脑出血患者短期预后因素分析

目的研究入院清醒脑出血患者短期预后因素。方法选取2003-2009病例662例,以30d为观察终点。用GOS评分进行预后测评,选取一系列自变量,以最终结果作为因变量,对自变量进行整理后进行LO-GISTIC回归分析。结果分析表明年龄≥75岁、出血量≥30mL、体温≥37.0℃、白细胞总数≥10.0×109/L和心电图异常为30d治疗无效或死亡危险因素(P值分别为0.006、0.002、0.027、0.011、0.014)。结论高龄、较大出血量、入院时体温、血白细胞计数和血糖增高等为预后不良早期预测指标。

Analysis on factors related to short term prognosis of clear-headed cerebral hemorrhage

Objective To study the related factors which effect the short term prognosis of clear-headed cerebral hemorrhage.Method Collecting 662 cases of 2003 to 2009,and observed 30 days and using GOS to assess the prognosis.Slecting a series of independent variable,end-results as dependent variable,arranging the dependent variable,and analyzing by Logistic regression.Results Age was more than 75,hemorrhage volume more than 30ml,body tempreture higher than 37.0℃,total white cell count was more than 10.0×109/L and abnormal ECG,all of this were the risk factors of 30 days ineffective treatment or death（P value were 0.006,0.002,0.027,0.011,0.014,respectively）.Conclusions The eld,large hemorrhage volume,fever,white blood cell count,high blood sugar were the risk factors of poor prognosis of clear-headed cerebral hemorrhage.