脑出血预后的多因素Logistic回归分析  

Logistic Regression Analysis of Multiple Factors in the Prognosis of Cerebral Hemorrhage

作　　者：崔春丽[1] 王智强[2] 

机构地区：[1]江苏省中医院,江苏南京210000 [2]江苏省南京市中西医结合医院,江苏南京210000

出　　处：《中国中医急症》2016年第6期1037-1038,1073,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)资助课题(2006CB504807)

摘　　要：目的探讨脑出血预后相关因素。方法对670例脑出血患者的一般资料和临床资料进行调查,分析其预后特点及相关影响因素。将一般资料和临床资料作为自变量,将格拉斯哥昏迷(GCS)评分量表评分,修正的RANKIN评分作为因变量,进行多因素Logistic回归分析。结果脑出血的预后与性别、高血压病、吸烟、高脂饮食及出血量有关(P<0.05)。中医症候为瘀热、风阳、火热的患者与预后相关(P<0.05)。结论性别、高血压病、吸烟、高脂饮食以及中医症候,是与脑出血预后是直接相关的。男性患者有吸烟史、高血压病史,以及有高脂饮食习惯的患者,中医症候为瘀热、风阳、火热等患者预后较差。Objective： To investigate the prognostic factors of cerebral hemorrhage. Methods： The general data and clinical data of 670 patients with cerebral hemorrhage were investigated,used as independent variables,and assayed with GCS. Modified RANKIN score as a dependent variable carried out logistic regression analysis. Results： The prognosis of cerebral hemorrhage was related to gender,hypertension,smoking,high fat diet and blood loss（P〈0.05）. The patient,with TCM Syndrome of blood stasis heat,wind Yang and hot,was associated with the prognosis（P〈0.05）. Conclusion： Gender,hypertension,smoking,high fat diet and symptoms of TCM is directly related to the prognosis of cerebral hemorrhage. The following patients have poor prognosis： male patients,patients with history of smoking,history of hypertension and high fat diet,patients with TCM Syndrome of blood stasis heat,wind Yang and hot.

关 键 词：脑出血 预后 多因素 

分 类 号：R743.34[医药卫生—神经病学与精神病学]