急性重症脑血管病患者死亡的危险因素分析  

Analysis of risk factors of death on patients with severe cerebral vascular disease

作　　者：李荣杰[1] 梁俊雄[1] 吕博文[1] 莫俊强[1] 

机构地区：[1]广东省江门市新会区人民医院急诊科,广东江门529100

出　　处：《中国现代医生》2014年第19期22-24,共3页China Modern Doctor

摘　　要：目的探究急性重症脑血管病患者发生死亡的相关危险因素。方法针对本院收治的急性重症脑血管病患者80例的临床资料进行回顾性分析,根据临床结局,分为存活组与死亡组,采用Logistic回归分析死亡危险因素。结果存活组与死亡组患者的例数分别为59例(73.75%)与21例(26.25%);经多元回归分析后,年龄、体温、格拉斯哥昏迷评分、高血压、脑卒中、糖尿病、慢性阻塞性疾病、消化道出血、肺部感染、颅内再出血或梗死以及多器官功能衰竭等因素与患者的死亡率呈显著相关性(P均<0.05)。结论急性重症脑血管病患者死亡与患者年龄、合并疾病、并发症状及疾病特征等多种因素有关,值得进一步推广研究。Objective To investigate the death risk of patients with severe cerebral vascular disease. Methods The clinical data of 80 cases of patients with severe cerebral vascular disease in our hospital were analyzed retrospectively. According to the clinical outcome, 80 cases were divided into survival group and death group, and the factors of death risk were analyzed by Logistic regression. Results The cases of survival group and death group patients were 59 cases （73.75%） and 21cases （26.25%） respectively. After multiple regression analysis, age, temperature, glasgow coma score, hypertension, stroke, diabetes, COPD, digestive traethemorrhage, pneumonia, intracranial hemorrhage or infarction and multiple organfailure, were correlated with the death of patients with severe cerebral vascular disease significantly （P all 〈0.05）. Conclusion The death of patients with severe cerebral vascular disease are associated with age, combined disease, syndrome and and disease attributes, the research is worthy of further promotion.

关 键 词：重症脑血管病 死亡 回归分析 危险因素 

分 类 号：R563.1[医药卫生—呼吸系统]