[1]惠辉 韩刚.动脉瘤性蛛网膜下腔出血患者贫血与预后的关系[J].卒中与神经疾病杂志,2019,26(06):724-727.[doi:10.3969/j.issn.1007-0478.2019.06.020]
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动脉瘤性蛛网膜下腔出血患者贫血与预后的关系()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第26卷
期数:
2019年06期
页码:
724-727
栏目:
论 著
出版日期:
2019-12-25

文章信息/Info

文章编号:
1007-0478(2019)06-0724-04
作者:
惠辉 韩刚
716000 陕西省延安大学附属医院神经内科(惠辉),心脑血管专科病区神经重症医学科[韩刚(通信作者)]
关键词:
蛛网膜下腔出血 贫血 预后
分类号:
R743.35
DOI:
10.3969/j.issn.1007-0478.2019.06.020
文献标志码:
A
摘要:
目的 探讨贫血对动脉瘤性蛛网膜下腔出血(aSAH)患者神经功能的影响。方法 以2015年7月1日-2018年9月30日符合条件的aSAH患者为研究对象,前瞻性地记录一般临床资料,在术后第1、3、7 d抽空腹静脉血行血常规检查判断有无贫血; 术后6个月应用扩展格拉斯哥预后评分(GOS-E)评价aSAH患者的神经功能预后情况。结果 136例患者中有57例(41.9%)患者出现贫血,79例(58.1%)患者无贫血。贫血患者预后不良发生率为75.4%(43例),显著高于无贫血患者(57.0%,45例)(χ2=4.949,P=0.026)。多因素logistic回归分析显示动脉瘤位置、WFNS分级、Fisher分级、再出血、脑血管痉挛和贫血是影响神经功能预后的独立因素。结论 aSAH后贫血是导致aSAH患者神经功能不良的危险因素,未来需要进一步探讨aSAH患者输血阈值以及纠正贫血的方案。

参考文献/References:


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备注/Memo

备注/Memo:
(2019-04-24 收稿)
更新日期/Last Update: 2019-12-25