脑血管意外患者预后不佳的危险因素分析  

Risk factors for poor prognosis of hospitalized patients with cerebrovascular accident

作　　者：高永开 杨海贵[1] 路丕周 杜宏瑞[1] 

机构地区：[1]延安市人民医院神经外科,陕西延安716000

出　　处：《西部医学》2017年第6期847-849,853,共4页Medical Journal of West China

基　　金：陕西省卫计委科研项目(2014D30)

摘　　要：目的探讨脑血管意外患者预后不佳的相关危险因素。方法回顾性分析2011年1月~2015年2月收治的156例脑血管意外住院患者的临床资料,筛选脑血管意外发生的相关危险因素。结果脑血管意外患者预后与年龄、教育程度、合并脑卒中、合并糖尿病、NIHSS评分、住院时间、GCS评分相关,其中教育程度为保护因素,以MoCA评分、MMSE评分、住院时间危险度(OR=6.711、6.013、5.697,P<0.05)独立危险因素。结论年龄、教育程度、脑卒中、糖尿病、NIHSS评分、住院时间、GCS评分与住院脑血管意外患者预后密切关联,积极控制危险因素可改善脑血管病患者预后。Objective To analyze the related factors of the poor prognosis of patients with cerebrovascular accident in our hospital and summarize the risk factors. Methods The clinical data of 156 hospitalized patients with cerebrovascular accident admitted to our hospital from January 2011 to February 2015 were retrospectively analyzed. The related risk factors for cerebrovascular accident were screened. Results The prognosis of hospitalized patients with cerebrovascular accident was related to age, educational level, being complicated with stroke or diabetes, NIHSS score, hospitalization time and GCS score in which educational level was the protective factor. The MoCA score, MMSE score and hospitalization time risk （OR=6. 711, 6. 013, 5. 697, P〈0.05） were relatively higher. Conclusion Age, educational level, stroke, diabetes, NIHSS score, hospitalization time and GCS score are closely related to the prognosis of hospitalized patients with cerebrovascular accident in which education level is the protective factor. Stroke, diabetes, NIHSS score, MoCA score, MMSE score, hospitalization time and GCS score are independent risk factors.

关 键 词：脑血管意外 预后 危险因素 影响 

分 类 号：R445.1[医药卫生—影像医学与核医学]