GCS综合多因素法评估高血压脑出血患者手术价值及预后

目的针对目前高血压性脑出血(HICH)的患者病情评估方法,分析HICH患者手术前的危险因素与预后关系,借鉴GCS评分,并藉此量化各种危险因素,更加直观评估HICH患者手术的价值和预后。方法将258例HICH患者手术前情况根据其GCS评分、血压、全身情况、影象学资料、社会状况等影响因素量化,并通过统计评估影响因素对预后的影响相关性。并根据量化分值预测患者的预后(生存或死亡)。结果选定的影响因素均已经被证实对患者的预后有显著相关性,通过"GCS综合多因素"法预测HICH患者预后具有较高的准确性。结论对于HICH患者手术前通过GCS综合多因素法可以预测其近期预后并为是否手术提供参考。

GCS comprehensive multi-factor method and its value on evaluating the operation for HICH patients and forecasting

Objective To analyze the relationship between risk factors before surgery and prognosis of the patients of HICH,quantify various risk factors by taking example through GCS score,and estimate the value of operation and the prognosis of HICH patients more directly and efficiently by means of reviewing the current of patient hypertensive hemorrhage(HICH).Methods 258 cases of HICH patients data were quantified before surgery including their GCS score,blood pressure,body circumstance,imaging material,social status and other factors,and we estimated the relationship between the factors and the prognosis by statistical evaluation and predicted the prognosis of patients(survival or death) according to the quantization.Results The significant correlation was proved between the factors which were selected and the patient's prognosis,there was higher accuracy by"GCS comprehensive multi-factor"method for forecasting HICH patient outcome. Conclusion GCS comprehensive multi-factor could provide the reference for HICH patients before surgery and predict the prognosis after surgery.