老年脑出血继发多器官功能障碍综合征的危险因素分析  

Multivariate Logistic Regression Analysis of the Risk Factors of Old People' s Subsequent Multiple Organ Dysfunction Syndrome after Cerebral Hemorrhage

作　　者：鲍治诚[1] 夏雪龙[1] 王万华[1] 吴亚平[1] 

机构地区：[1]昆山市第一人民医院神经内科,江苏昆山215300

出　　处：《医学综述》2014年第23期4404-4406,共3页Medical Recapitulate

摘　　要：目的探讨老年人脑出血并发多器官功能障碍综合征(MODS)的危险因素。方法回顾性分析2012年2月至2014年2月昆山市第一人民医院神经内科收治的80例(其中并发MODS 54例)老年脑出血患者的临床资料。对脑出血并发MODS的危险因素进行单因素和多因素Logistic回归分析。结果单因素分析结果显示,患者年龄、原有基础疾病、脏器衰竭数目、营养状态、机体免疫功能和感染与脑出血并发MODS有关(P<0.05);多因素Logistic回归分析结果显示,原有基础疾病、脏器衰竭数目和感染是脑出血并发MODS的独立危险因素(P<0.05)。结论老年人脑出血继发MODS的主要危险因素是原有基础疾病、脏器衰竭数目和感染,在临床工作中应积极重视这些危险因素并给予有效治疗,从而有效预防MODS的发生。Objective To investigate the risk factors of cerebral hemorrhage with multiple organ dysfunction syndrome（MODS） in the elderly. Methods Total of 80 eases of cerebral hemorrhage （54 eases with MODS） of the elderly in Neurological deportment of the First People＇s Hospital of Kunshan from Feb. 2012 to Feb. 2014 were selected, and their elinieal information were retrospectively analyzed. The risk factors of the cerebral hemorrhage with MODS were analyzed by single factors and multivariate Logistie regression analysis. Results Single factor analysis showed that age of patients,primary disease, the number of organ failure, nutritional status, immune function, and infection were associated with cerebral hemorrhage with MODS （P 〈 0.05 ）. Multivariate Logistic regression analysis showed that primary disease, the number of organ failure,infection were the independent risk factors of cerebral hemorrhage with MODS（ P 〈 0.05 ）. Conclusion The risk factors of eerebral hemorrhage with MODS in the elderly include primary disease, the number of organ failure and infection. More attention should be given to these risk factors and effective treatment should be taken,in order to effectively prevent the occurrence of MODS.

关 键 词：老年人 脑出血 多器官功能障碍综合征 危险因素 

分 类 号：R592[医药卫生—老年医学]