临床误诊误治2018，Vol.31Issue(6)：100-102,3.DOI:10.3969/j.issn.1002-3429.2018.06.030
动脉瘤性蛛网膜下腔出血患者外周血象与意识障碍的关系
The Relationship between Peripheral Hemogram and Disturbance of Consciousness Disorder in Patients with Aneurysmal Subarachnoid Hemorrhage
摘要
Abstract
Objective To investigate the relationship between peripheral hemogram and disturbance of con-sciousness in patients with aneurysmal subarachnoid hemorrhage (aSAH) . Methods Thirty-five patients with aSAH who were admitted to our hospital between January 2015 and December 2015 were enrolled in this study. Routine blood tests were performed and Glasgow Coma Scale (GCS) was used for scoring. The patients were divided into two groups:mild group (≥12 points) and moderate to severe group ( <12 points) . The relationship between different groups and peripheral hemogram were analyzed. The receiver operating characteristic (ROC) curve was drawn to e-valuate the ability of peripheral hemogram to identify the severity of disturbance of consciousness. Results Com-pared with the moderate-severe group, the number of white blood cell (WBC) , neutrophils, and hemoglobin were decreased slightly in the mild group, suggesting significant differences (P<0. 05). Spearman rank correlation analy-sis revealed that WBC, neutrophils and hemoglobin were positively correlated with GCS score ( r =0.472, P =0.005;r=0.420 , P=0.013; r=0.363 , P=0.035 ) , which were also independent predictors of the severity of disturbance of consciousness in aSAH patients. Conclusion Routine blood tests is of diagnostic value in predicting the severity of disturbance of consciousness in aSAH patients.关键词
蛛网膜下腔出血,动脉瘤/意识障碍/白细胞Key words
Subarachnoid hemorrhage,aneurysmal/Consciousness disorders/Leukocytes分类
医药卫生引用本文复制引用
高金玲,王庆丰,徐男,平雅,董毅,刘建峰..动脉瘤性蛛网膜下腔出血患者外周血象与意识障碍的关系[J].临床误诊误治,2018,31(6):100-102,3.基金项目
河北省卫计委医学科学研究指令性课题(20160205) （20160205）
