临床误诊误治2017，Vol.30Issue(8)：83-86,4.DOI:10.3969/j.issn.1002-3429.2017.08.025
自发性脑出血患者入院30 d内死亡的危险因素分析
Analysis of Risk Factors of Death within 30 Days after Admission in Patients with Spontaneous Intracerebral Hemorrhage
摘要
Abstract
Objective To investigate risk factors of death within 30 days after admission in patients with spontaneous intracerebral hemorrhage.Methods A total of 342 patients with spontaneous intracerebral hemorrhage admitted during January 2011 and January 2016 were divided into death group (n=86) and survival group (n=256) according to whether or not death within 30 days after admission.Mainly clinical characteristics were observed in two groups.The age was analyzed using the area under the receiver operating characteristics (ROC) curve, and Glasgow coma scale (GCS) score and bleeding volume within 30 days after admission in patients with spontaneous intracerebral hemorrhage were used to predict death,and the risk factors of death within 30 days after admission in patients with spontaneous intracerebral hemorrhage were analyzed using single factor and multiple factors logistic regression analysis.Results Compared with those in survival group, in death group, GCS score was significantly lower;bleeding volume was significantly more;incidence rate of basal ganglia hemorrhage was significantly lower;incidence rates of cerebellar hemorrhage and combination of intraventricular hemorrhage were significantly higher;therapy rate of surgery was lower ((P<0.05).Analysis of the area under the ROC curve showed that GCS and the bleeding volume had a certain clinical value in prediction of death within 30 days after admission in patients with spontaneous intracerebral hemorrhage (P<0.001).Single factor and multiple factors logistic regression analysis showed that CGS, bleeding volume and cerebellar hemorrhage were the independent risk factors of death within 30 days after admission in patients with spontaneous intracerebral hemorrhage.Conclusion GSC, the bleeding volume and cerebellar hemorrhage are the independent risk factors of death within 30 days after admission in patients with spontaneous intracerebral hemorrhage.关键词
脑出血/死亡/危险因素Key words
Cerebral hemorrhage/Death/Risk factors分类
医药卫生引用本文复制引用
石海英,张强,王学静,郝林军..自发性脑出血患者入院30 d内死亡的危险因素分析[J].临床误诊误治,2017,30(8):83-86,4.基金项目
内蒙古自治区自然科学基金项目(2016LH0820) （2016LH0820）
