自发性脑出血患者并发症的相关危险因素分析

目的分析自发性脑出血患者各种并发症的相关危险因素。方法回顾性分析443例自发性脑出血患者的临床资料,对并发症发生的可能危险因素进行Logistic回归分析。结果二分类Logistic回归分析显示,糖尿病史(OR=4.449,P<0.01)及脑出血破入脑室(OR=2.227,P<0.05)为自发性脑出血患者肺部感染的相关危险因素;意识水平(OR=2.715,P<0.01)及糖尿病史(OR=11.071,P<0.05)为自发性脑出血患者呼吸衰竭的相关危险因素;脂质代谢异常(OR=14.832,P<0.05)为自发性脑出血患者电解质紊乱的相关危险因素。结论自发性脑出血患者入院时伴有糖尿病史、脑出血破入脑室者在住院期间可能易发生肺部感染;伴有脂质代谢异常者可能易发生电解质紊乱;伴有意识障碍、糖尿病史者可能易发生呼吸衰竭。

Associated risk factors for complications in spontaneous cerebral hemorrhage patients

Objective To analyze the associated risk factors for complications in spontaneous cerebral hemorrhage patients.Methods Clinical data about 443 spontaneous cerebral hemorrhage patients were retrospectively analyzed and the possible risk factors for complications of spontaneous cerebral hemorrhage were analyzed by logistic regression analysis.Results Binary logistic regression analysis showed that history of diabetes mellitus(DM) and cerebral hemorrhage into ventricles were the associated risk factors for pulmonary infection(OR=4.449,P<0.01;OR=2.227,P<0.05) while level of consciousness and history of DM were the associated risk factors for respiratory failure(OR= 2.715,P<0.01;OR=11.071,P<0.05) and abnormal lipid metabolism was the associated risk factor for electrolyte disturbance(OR=14.832,P<0.05) in spontaneous cerebral hemorrhage patients.Conclusion Spontaneous cerebral hemorrhage patients accompanying history of DM at admission and cerebral hemorrhage in ventricles after admission are easy to occur pulmonary infection.Those with abnormal lipid metabolism or disturbance of consciousness and history of DM are easy to have electrolyte disturbance or respiratory failure.