超高龄脑出血患者预后影响因素分析  

Analysis on the Influencing Factors for Prognosis of Intracerebral Hemorrhage in Extremely Elder Patients

作　　者：韩慧[1] 赵小燕[1] 

机构地区：[1]四川大学华西医院神经综合病房,成都610041

出　　处：《华西医学》2016年第1期10-12,共3页West China Medical Journal

摘　　要：目的探讨影响超高龄（≥80岁）脑出血患者预后的相关因素。方法回顾性分析2010年6月-2013年6月收治的104例超高龄脑出血患者的临床资料。根据格拉斯哥预后评分,将患者分为预后良好组（4-5分）和预后不良组（1-3分）。对两组的性别、年龄、入院时意识、入院时平均动脉压、收缩压及并发症发生率进行比较。结果预后良好组62例,预后不良组42例;两组在性别、年龄、入院时平均动脉压方面相差无统计学意义（P〉0.05）。预后良好组入院时意识评分为（13.79±2.38）分,高于预后不良组[（8.24±3.80）分],差异有统计学意义（P〈0.05）;预后良好组并发症发生率（45.2%）、入院时收缩压[（168.87±25.03）mm Hg（1 mm Hg=0.133 k Pa）]均低于预后不良组[88.1%,（181.83±29.82）mm Hg],差异均有统计学意义（P〈0.05）。结论对于超高龄脑出血患者,意识、入院时收缩压、并发症发生率是其预后的影响因素。此外,入院时收缩压〉180 mm Hg可能是超高龄患者预后不良的因素之一。Objective To explore the influencing factors for the prognosis of intracerebral hemorrhage in extremely old patients.Methods We retrospectively analyzed the clinical data of 104 extremely old intracerebral hemorrhage patients（≥ 80 years old） treated between June 2010 and June 2013.According to Glass Outcome Score,the patients were divided into good outcome group（with a score of 4- 5） and poor outcome group（with a score of 1- 3）.The age,gender,consciousness on admission,mean arterial pressure,systolic blood pressure on admission,and complication rate were analyzed and compared between the two groups of patients.Results A total of 104 patients were recruited in our study,with 62 in the good outcome group and 42 in the poor outcome group.The gender,age,average arterial pressure on admission between the two groups were not significantly different（P〈0.05）.The consciousness score at admission in the good outcome group（13.79 ± 2.38） was significantly higher than that of the poor outcome group（8.24 ± 3.80,P〈0.05）.The complication rate（45.2%vs.88.1%） and systolic blood pressure on admission[（168.87 ± 25.03） vs.（181.83 ± 29.82） mm Hg（1 mm Hg= 0.133 kPa]in the good outcome group were both significantly lower than those in the poor outcome group（P〈0.05）.Conclusions For extremely old intracerebral hemorrhage patients,consciousness score and systolic blood pressure at admission,and complication rate are the influencing factors for the prognosis.In addition,a systolic pressure on admission above 180 mm Hg can be a risk factor for poor prognosis in extremely old patients.

关 键 词：超高龄 脑出血 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学]