主动脉夹层存活出院影响因素的Logistic回归分析  

Logisitc regression analysis of the factors impacting on survival at discharge of aortic dissection patients

作　　者：陶惠明[1] 徐达青[2] 冷巧云[1] 夏绿池 张可[1] 

机构地区：[1]九江市第一人民医院急诊科,江西九江332000 [2]九江市第一人民医院神经内科

出　　处：《临床急诊杂志》2015年第7期513-516,共4页Journal of Clinical Emergency

摘　　要：目的:探讨影响急诊科主动脉夹层(AD)患者存活出院的相关因素。方法:回顾性分析2012-01-2014-12我院急诊科收治的AD患者病例资料,对可能影响其存活出院的相关因素进行单因素及多因素Logistic回归分析。结果:入选病例80例,存活出院44例(55%)。多因素Logistic回归分析结果显示入院收缩压水平(OR=0.074,P=0.004)、Stanford分型(OR=0.108,P=0.009)、D-二聚体含量(OR=6.151,P=0.027)、治疗方式(OR=0.051,P=0.001)是AD患者存活出院的独立预测因素。结论:入院收缩压<140 mmHg、Stanford A型、采取药物保守治疗是AD患者存活出院的不利因素,而D-二聚体<5.0μg/ml是AD患者存活出院的保护性因素。Objective：To discuss the factors impacting on survival at discharge of aortic dissection（AD）patients from emergency department.Method：Clinical data was analyzed retrospectively from AD patients treated in emergency department from January 2012 to December 2014.Univariate and multivariate Logistic regression analysis were performed to evaluate factors which might impact on survival at discharge.Result：A total of 80 AD patients were enrolled,of which 44（55%）patients survived to discharge.Multivariate Logistic regression analysis showed systolic blood pressure on admission（OR=0.074,P=0.004）,Stanford type（OR=0.108,P=0.009）,Ddimer content（OR=6.151,P=0.027）,therapy methods（OR=0.051,P=0.001）were independent predictors of survival at discharge.Conclusion：Systolic blood pressure on admission 〉140mmHg,Stanford A type,taking drug conservative therapy were unfavorable predictors of survival at discharge while D-dimer〈5.0μg/ml was favorable predictor of survival at discharge.

关 键 词：主动脉夹层 LOGISTIC回归分析 存活出院 影响因素 

分 类 号：R543.1[医药卫生—心血管疾病]