动脉瘤性蛛网膜下腔出血的预后因素分析及预后判别  

Analysis of Prognostic Factors and Judgment for Patients After Aneurysmal Subarachnoid Hemorrhage

作　　者：王明磊[1] 杜固宏[2] 王凯[1] 

机构地区：[1]上海市普陀区人民医院神经外科上海市华山神经外科(集团)医院普陀分院,上海200060 [2]复旦大学附属华山医院神经外科,上海200040

出　　处：《医学临床研究》2007年第5期721-723,共3页Journal of Clinical Research

摘　　要：【目的】探讨动脉瘤性蛛网膜下腔出血(aSAH)的预后影响因素。【方法】采用SAS V6.12统计软件,对年龄、性别、Hunt&Hess分级、血管痉挛程度、动脉瘤的大小及部位、手术时机和Fisher's分级共8项34个水平对其预后进行单因素和多因素分析,然后引入Logistic多元回归模型,求得判别方程。【结果】血管痉挛的程度(rs=-0.73215,P<0.01)及SAH的Fisher's分级(rs=-0.54601,P<0.01)与预后明显相关,并得到判别方程。【结论】脑血管痉挛的程度及Fisher's分级是aSAH预后最为重要的两个独立判别因素。[Objective]To investigate the influencing factors of prognosis in patients after aneurysmal subarachnoid hemorrhage（aSAH）. [Methods]Singular factor analysis and multiple factors analyses in age, sex, Hunt ＆ Hess Classification of SAH,degree of cerebral vasospasm,location and size of aneurysms,time of op- eration and Fisher＇s grade for subarachnoid hemorrhage were carried out with SAS V6.12, and Logistic Regression Model was used to get equations. [Results]The prognosis of patients was obviously correlated with degree of cerebral vasospasm（rs=0. 73215, P〈0.01） and Fisher＇s grade for subarachnoid hemorrhage（rs= -0. 54601, P〈0.01）. The discriminant equations were got. [Conclusions]Degree of cerebral vasospasm and Fisher＇s grade for subarachnoid hemorrhage are the most important discriminant factors.

关 键 词：蛛网膜下腔出血 动脉瘤 预后 

分 类 号：R743.35[医药卫生—神经病学与精神病学]