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自发性脑出血入院相关因素与预后的关系及决策分析
引用本文:王改青,杨期东,汤清平,陈施艳,李振国,黄晓松.自发性脑出血入院相关因素与预后的关系及决策分析[J].中国临床神经科学,2005,13(4):396-398,415.
作者姓名:王改青  杨期东  汤清平  陈施艳  李振国  黄晓松
作者单位:中南大学湘雅医院神经内科,410008
摘    要:目的:探讨与脑出血短期预后相关的影响因素,为进一步改善临床预后提供决策分析。方法:确诊脑出血患者共252例,填写病例资料调查表,应用SAS6.12统计软件进行分析。结果:入院时GCS评分及血钾含量越低、血糖值及平均动脉压越高、非叶性出血及既往存在脑出血、吸烟及冠心病史时,患者30 d的Glasgow-Pittsberg评分则越低。结论:入院时的GCS评分、平均动脉压、血糖及血钾水平,既往脑出血、吸烟、冠心病史,出血部位可能为脑出血患者短期预后的独立预测因素。

关 键 词:脑出血  短期预后  影响因素  决策分析
文章编号:1008-0678(2005)04-0396-03
修稿时间:2005年6月9日

The Influence and Decision-making on Outcome of Spontaneous Intracerebral Hemorrhage(ICH)
WANG Gai-Qing,YANG Qi-Dong,TANG Qing-Ping.The Influence and Decision-making on Outcome of Spontaneous Intracerebral Hemorrhage(ICH)[J].Chinese Journal of Clinical Neurosciences,2005,13(4):396-398,415.
Authors:WANG Gai-Qing  YANG Qi-Dong  TANG Qing-Ping
Affiliation:WANG Gai-Qing,YANG Qi-Dong,TANG Qing-Ping Department of Neurology of XiangYa Hospital,Central South University,Changsha 410008,China
Abstract:Aim:To explore the influence on short-term prognosis of intracerebral hemorrhage and make decision for ameliorating the clinical outcome.Methods:252 ICH cases were diagnosed by CT,then all patients were filled in the case data questionnaire and Analyzed data with SAS6.12 statistics software.Results:The lower GCS and blood potassium and higher serum glucose value and mean blood pressure at admission,past history of ICH,smoking and coronary heart disease,non-lobar ICH are in line with the lower value of 30-day Glasgow-Pittsberg score.Conclusion:The aboved variables were the independent predictors of 30-day outcome in ICH patients and intervening them maybe improve ICH conditions.
Keywords:intracerebral hemorrhage(ICH)  short-term outcome  influence factors  decision-making
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