体温与高血压脑出血病死率关系的研究  

Influence of Admission Temperature on Mortality in Patients with Hypertensive Intracerebral Hemorrhage

作　　者：李涛[1] 田桂杰[1] 张蓝[1] 魏国威[1] 马倩[1] 王茂林[1] 韩景献[1] 

机构地区：[1]天津中医药大学第一附属医院

出　　处：《中西医结合心脑血管病杂志》2007年第1期24-26,共3页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘　　要：目的回顾性调查研究急性高血压脑出血病人的不同体温变化对院内病死率的预测性作用。方法对1999年1月1日—2005年1月1日收入病房的214例急性高血压脑出血病人,应用多项逐步Logistic回归分析体温及其他因素对院内病死率的影响。结果214例病人中院内死亡37例,病死率17.29%,高体温组较低体温组病人的病死率高,高体温者的院内病死率与正常体温者的比值比(OR)为2.017,其他影响高血压脑出血院内病死率结局的因素有脑出血破入脑室、感染、入院病情评分、年龄、体温变化时间(OR>1);而当这些因素被控制时体温仍与高血压脑出血院内病死率增加有关(OR=1.808)。结论体温与脑出血院内病死率升高独立相关。Objective To investigate the prognostic value of admission body temperature on in- hospital mortality in patients （pts） with acute hypertensive intraeerebral hemorrhage. Methods Two hundred and fourteen pts with acute hypertensive intraeerebral hemorrhage were studied. The relationship between admission temperature and in- hospital mortality was evaluated. Body temperature on admission was classified as high body temperature ≥37.5 ℃, low body temperature ≤36.5 ℃ and normal body temperature （ 〉36.5 ℃ - 〈37.5℃ ）. Other factors such as blood broken into cerebral ventricles, infections, age and time within hospital were included in the logistic regression model. Forward logistic regression analysis was performed. Results The in hospital mortality was 17.29% （37/214）. Mortality was higher in the pts with high body temperature than that in pts with low body temperature and normal body temperature. The odds ratio for inhospital mortality in high body temperature versus normal body temperature pts was 2. 017. Other prcgnostic factors were blood broken into cerebral ventricles, infections and age. High body temperature was still a prognostic faetor when other factors were controlled （OR = 1.808） Conclusion Admission body temperature was associated with high in - hospital mortality in pts with hypertensive intraeerebral hemorrhage.

关 键 词：体温 高血压脑出血 病死率 LOGISTIC回归分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R544.1[医药卫生—临床医学]