蛛网膜下腔出血患者预后的Logistic危险因素分析  

Analysis of Logistic risk factors in the prognosis of subarachnoid hemorrhage

作　　者：周宏[1] 许超 叶淑萍[1] ZHOU Hong;XU Chao;YE Shuping(Department of Neurology,Beijing Fengtai Hospital,Beijing, 100070)

机构地区：[1]北京丰台医院神经内科,北京100070

出　　处：《实用临床医药杂志》2017年第19期41-43,共3页Journal of Clinical Medicine in Practice

基　　金：北京市丰台医院院内课题项目(2013-14)

摘　　要：目的探讨蛛网膜下腔出血患者预后的Logistic危险因素。方法选取蛛网膜下腔出血患者98例,分析2组年龄、血压、手术时期等基本资料,并进行Logistic分析。结果 98例蛛网膜下腔出血患者中预后良好60例,预后不良38例。预后良好组患者年龄≥50岁、血压等级、Hunt-Hess分级、APACHEⅡ评分、再次出血及脑血管痉挛所占比例均显著高于预后不良组(P<0.05)。Logistic分析显示,急性生理及慢性健康状况(APACHEⅡ)评分、脑血管痉挛、Hunt-Hess分级、再次出血及年龄是影响蛛网膜下腔出血的独立危险因素。结论 APACHEⅡ评分、脑血管痉挛、Hunt-Hess分级、再次出血及年龄是影响蛛网膜下腔出血患者预后危险因素。ObjectiveTo investigate the logistic risk factors of subarachnoid hemorrhage. MethodsA total of 98 patients with subarachnoid hemorrhage diagnosed in our hospital were selected as the study subjects. The basic data of age, blood pressure and operation were analyzed by logistic analysis. ResultsThere were 60 cases with favorable prognosis, and 38 cases with poor prognosis in 98 patients with subarachnoid hemorrhage. The proportion of Hunt Hess grade, APACHE Ⅱ score, re bleeding and cerebral vasospasm in favorable prognosis group was significantly higher than that of poor prognosis group （P〈0.05）, and the difference was statistically significant （P〈0.05）. Logistic analysis showed that acute physiology and chronic health status （APACHE II） score, cerebral vasospasm, Hunt Hess grade, re bleeding and age were independent risk factors for subarachnoid hemorrhage. ConclusionAPACHE Ⅱ score, cerebral vasospasm, Hunt Hess grading, re bleeding and age are the prognostic factors for patients with subarachnoid hemorrhage.

关 键 词：蛛网膜下腔出血 预后 LOGISTIC分析 危险因素 

分 类 号：R743.35[医药卫生—神经病学与精神病学]