海南陵水黎族自治县高龄自发性脑出血患者的预后生存分析  

Analysis on the prognostic factors of the elder patients with spontaneous intracerebral hemorrhage in lingshui li autonomous county of Hainan island

作　　者：符雄 王鹏[2] 包文娟[3] 王汉 赵宗茂[2,4] FU Xiong;WANG Peng;BAO Wen juan;WANG Han;ZHAO Zong-mao(Department of Second Surgery,Lingshui Li Autonomous County People＇s Hospital,Htainan Province Lingshui 572400,China;Department of Neurosurgery,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Anesthesiology,Children：s Hospital of Hebei Province,Shijiazhuang 050031,China;Department of Neuroscience Research Center,Hebei Medical University Shijiazhuang 050017,China)

机构地区：[1]海南省陵水黎族自治县人民医院外二科,海南陵水572400 [2]河北医科大学第二医院神经外科,河北石家庄050000 [3]河北省儿童医院麻醉科,河北石家庄050031 [4]河北医科大学神经科学研究中心,河北石家庄050017

出　　处：《河北医科大学学报》2018年第8期898-902,共5页Journal of Hebei Medical University

基　　金：国家重点研发计划政府间专项项目(2017YFE0110400)

摘　　要：目的探讨影响海南陵水黎族自治县高龄(≥70岁)自发性脑出血患者预后生存时间的相关因素。方法回顾性分析40例高龄自发性脑出血患者的相关临床资料,分析影响高龄自发性脑出血患者预后的危险因素。结果年龄<80岁患者平均生存时间长于年龄≥80岁患者,入院格拉斯哥昏迷量表(Glasgow Coma Scale,GCS)评分15分患者平均生存时间长于<15分患者,颅内血肿量<40mL患者平均生存时间长于≥40mL患者,无中线移位患者平均生存时间长于≥中线移位患者,差异有统计学意义(P<0.05)。Cox回归模型多因素分析结果显示,中线移位程度是影响高龄自发性脑出血患者预后的危险因素。随着时间的延长,无中线移位的高龄脑出血患者累计生存率明显高于有中线移位患者。结论存在中线移位的高龄自发性脑出血患者预后较差,仅中线移位这个因素对高龄自发性脑出血患者的预后有影响,可以作为影响患者预后的独立危险因素。Objective To investigate the influencing factors for the prognosis of spontaneous intracerebral hemorrhage in the elder patients in lingshui li autonomous county of Hainan island.Methods The medical records of the 40 old spontaneous intracerebral hemorrhage patients（≥70 years old）were reviewed for age,gender,etc.to analyze the risk factors of prognosis in elderly patients with spontaneous intracerebral hemorrhage.Results The average survival time of patients aged〈 80 years was longer than that of patients aged ≥80 years.And the average survival time of patients with the hospitalized Glasgow Coma Scale（GCS）score 15 was longer than that of patients with the hospitalized GCS score〈15.The average survival time of patients with the intracranial hematoma 〈40 mL was longer than of patients with the intracranial hematoma≥40 mL.Multivariate Cox regression analysis found that only the midline shift was an independent prognostic factor influencing survival.With the extension of time,the cumulative survival rate of elder patients with intracerebral hemorrhage without midline shift was significantly higher than those with midline shift.Conclusion The old intracerebral hemorrhage patients with midline shift often have worse prognosis.Only midline shift was an independent prognostic factor of patients with intracerebral hemorrhage.

关 键 词：脑出血 预后 老年人 

分 类 号：R722.151[医药卫生—儿科]