[1]孙婷婷 张强.自发性脑出血早期神经功能恶化的预后因素分析[J].卒中与神经疾病杂志,2020,27(03):355-358.[doi:10.3969/j.issn.1007-0478.2020.03.016]
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自发性脑出血早期神经功能恶化的预后因素分析()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第27卷
期数:
2020年03期
页码:
355-358
栏目:
论 著
出版日期:
2020-07-20

文章信息/Info

文章编号:
1007-0478(2020)03-0355-04
作者:
孙婷婷 张强
121001 锦州医科大学抚顺市中心医院研究生培养基地(孙婷婷); 辽宁省抚顺市中心医院神经内科[张强(通信作者)]
关键词:
自发性脑出血 早期神经功能恶化 预后
分类号:
R743.34
DOI:
10.3969/j.issn.1007-0478.2020.03.016
文献标志码:
A
摘要:
目的 分析影响自发性脑出血后早期神经功能恶化的预后的相关因素。方法 选取2018年10月-2019年7月抚顺市中心医院住院治疗的246例自发性脑出血患者,将其分成2组:非早期神经功能恶化(ND)组、早期神经功能恶化(END)组; 患者病情程度依据NIHSS评分量表和GCS评分量表来评定; 脑出血90 d后预后评估由医师通过电话来完成,且依MRS评分分为2组:预后良好组(0~3分)和预后不良(4~6分); 分析END与90 d预后的关系。结果 246例患者中发生END有38例(15.4%),其中30例(78.9%)功能结局不良; 经过单因素Logistic回归分析显示出血破入脑室、入院血肿体积、即刻末梢血糖、入院首次NIHSS及GCS评分、END、血肿扩大是与不良功能预后(P均<0.05)发生相关的危险因素; 多因素Logistic回归分析显示END(OR=30.80,95%CI=5.51~172.28,P<0.001)、较高的入院后首次NIHSS评分(OR=1.56,95%CI=1.27~1.91,P<0.001)是脑出血90 d后预后不良的独立危险因素。结论 较高的入院首次NIHSS评分、脑出血后早期神经功能恶化的发生提示脑出血90 d后预后不良。

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备注/Memo

备注/Memo:
(2019-11-28 收稿)
更新日期/Last Update: 2020-07-20