结核性脑膜炎患者合并脑梗死的预后分析  

Analysis of the prognosis of patients with tuberculous meningitis combined with cerebral infarction

作　　者：杨成蓉[1] 杨志刚[1] 

机构地区：[1]四川雅安市人民医院神经内科,雅安625000

出　　处：《中国实用神经疾病杂志》2014年第20期26-27,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨结核性脑膜炎合并脑梗死预后的影响因素。方法对2007-11—2012-12在我院诊断为结核性脑膜炎合并脑梗死的63例患者进行回顾性分析,研究各因素对患者预后的影响。结果进行单因素分析发现,GCS评分、颅内压、梗死范围、是否早期激素治疗及鞘内注射等指标组间差异有统计学意义(P<0.05)。多因素Logistic分析结果表明GCS评分、早期激素治疗两个指标P<0.05,提示与疾病的预后呈显著相关,是结核性脑膜炎患者合并脑梗死患者预后的影响因素。结论 GCS评分、梗死范围、早期激素治疗等指标与结核性脑膜炎合并脑梗死患者的预后密切相关,具有一定的临床指导意义。Objective To investigate the prognosis of patients with tuberculous meningitis combined with cerebral infarc-tion .Methods The data of 63 patients with tuberculous meningitis combined with cerebral infarction from November 2007 to December 2012 in our hospital were retrospectively analyzed to study the impact of various factors on the patient＇s prognosis . Results Logistic multivariate analysis showed that the GCS score ,infarct size and early hormone therapy had a positive corre-lation with patients with tuberculous meningitis .Conclusion The GCS score ,infarct size and early hormone therapy have close correlation with the prognosis of patients with tuberculous meningitis combined with cerebral infarction .

关 键 词：结核性脑膜炎 脑梗死 

分 类 号：R743.33[医药卫生—神经病学与精神病学]