脑室出血预后影响因素的多元线性分析  

Multivariate regression analysis on the prognosis of intraventricular hemorrhage

作　　者：刘国栋[1] 毛锦宁[1] 程远[2] 马颖[2] 陈维福[2] 张宣文[2] 

机构地区：[1]重庆医科大学七年制,重庆400016 [2]重庆医科大学附属第二医院神经外科,重庆400010

出　　处：《重庆医科大学学报》2006年第2期145-147,152,共4页Journal of Chongqing Medical University

基　　金：国家"十五"科技攻关计划(编号:2001BA703B16(B))

摘　　要：目的:探讨影响脑室出血预后的相关因素。方法:对96例连续病例进行研究,以一般资料,发病症状,入院查体,影像学资料,治疗方式,并发症为自变量,以3月后斯堪的纳维亚脑卒中量表(Scandinavian Stroke Scale,SSS)评分作为因变量。用多元线性回归模型筛选出对预后有影响的因素,并比较各因素的影响大小。结果:经过统计学处理,发现入院时格拉斯哥评分(GlasgowComa Score,GCS),意识分级,受累脑室部位(尤其第四脑室,对侧侧脑室),瞳孔大小,治疗方式,肺炎,应激性溃疡对预后影响大。结论:GCS,意识分级,瞳孔大小,肺炎,应激性溃疡,治疗方式对预后有明显影响,其中,脑室出血的部位及脑室内的积血量对预后影响显著。Objective： To discuss the influence factors of the prognosis of intraventricular hemorrhage. Methods： 96 consecutive cases were studied. General information, onset symptoms, PE on admission, features on CT scan, treatment strategies and complications such as pneumonia and stress ulcer were used as independent valuables. Prognosis was judged with Scandinavian Stroke Scale after 3 months. The valuable influence factors were filtrated and formulated with multivariate regression analysis model. Results： The data were processed with statistic software, found that Glasgow Coma Score （GCS）, consciousness grade on admission, pupil size, treatment strategies, complications and the ventricles which were involved, especially the third ventricle and the contralateral ventricle, were found to affect the prognosis. Conclusion： GCS, consciousness grade, pupil size, pneumonia, stress ulcer, treatment strategies, in special, the position and volume of intraventricular hemorrhage affect the prognosis of intraventricular hemorrhage.

关 键 词：高血压脑出血 脑室出血 预后 多元线性回归分析 

分 类 号：R743.34[医药卫生—神经病学与精神病学]