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脑静脉窦血栓的预后影响因素分析--155例病例回顾性研究

彭圣威 李子孝 宋田 郑华光 赵性泉 王春雪 董可辉 王拥军

中国卒中杂志Issue(7):563-567,5.
中国卒中杂志Issue(7):563-567,5.DOI:10.3969/j.issn.1673-5765.2015.07.006

脑静脉窦血栓的预后影响因素分析--155例病例回顾性研究

Predictive Factors of the Outcome of Cerebral Venous Thrombosis--a Retrospective Case Series Study of 155 Patients

彭圣威 1李子孝 2宋田 1郑华光 3赵性泉 4王春雪 1董可辉 5王拥军6

作者信息

  • 1. 1100050 北京首都医科大学附属北京天坛医院神经病学中心,临床试验和临床研究中心
  • 2. 湖北科技学院临床医学院 附属第二医院 内科
  • 3. 国家神经系统疾病临床医学研究中心
  • 4. 首都医科大学附属北京天坛医院神经病学中心,神经感染免疫科
  • 5. 脑血管病转化医学北京市重点实验室
  • 6. 国家神经系统疾病临床医学研究中心
  • 折叠

摘要

Abstract

Objective To investigate the predictive factors of discharge outcome of cerebral venous thrombosis (CVT). Methods The clinical data of 155 patients with CVT were analyzed retrospectively. The patients were divided into favorable prognosis group (modiifed Rankin Scale [mRS]1) and unfavorable prognosis group (mRS2) according to mRS. Univariate analysis uses chi square analysis, while multivariate analysis takes Logistic regression analysis. Results The patients with good prognosis group (mRS1) were 136 cases (87.7%), the poor prognosis group were 19 patients (12.3%) in 155 cases of CVT. Univariate analysis showed that there were more male patients with good prognosis than those with poor prognosis, and fever, disturbance of consciousness, paralysis, the ocular symptoms and signs, sensory disturbances hint a poor prognosis. Meanwhile, multivariate Logistic regression analysis showed that, disturbance of consciousness (odds ratio [OR]13.207,P=0.014), paralysis (OR 14.638,P=0.003), the ocular symptoms and signs (OR 9.344,P=0.008) have the unfavorable signiifcance for the prognosis of CVT. Conclusion Disturbance of consciousness, paralysis, the ocular symptoms and signs are unfavorable predictors for discharged patients' prognosis.

关键词

脑静脉窦血栓形成/危险因子/预后

Key words

Cerebral venous thrombosis/Risk factors/Prognosis

引用本文复制引用

彭圣威,李子孝,宋田,郑华光,赵性泉,王春雪,董可辉,王拥军..脑静脉窦血栓的预后影响因素分析--155例病例回顾性研究[J].中国卒中杂志,2015,(7):563-567,5.

基金项目

北京市科委(Z131100002613005)国家科技支撑计划项目 ()

中国卒中杂志

OACSTPCD

1673-5765

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