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急性脑出血患者疾病严重程度及早期预后的影响因素

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目的:通过实验探究对急性脑出血患者的病情严重程度以及影响早期预后的因素进行了分析和探讨,以便于提高急性脑出血病症的诊疗效果.方法:选取2020年1月—2022年11月许昌市立医院收治的66例急性脑出血患者作为研究对象,并且根据入院治疗1周后的患者生存情况分为生存组和死亡组两个小组,并对患者的各项指标进行分析.患者指标包括了入院年龄、性别、疾病史、既往史、入院GCS评分、血肿量及血浆D-二聚体水平等临床检测指标,采用logistics回归分析对实验中两组急性脑出血患者病情的严重程度以及早期预后的影响因素进行了分析.结果:两组患者的年龄、血肿量、GCS评分以及血浆D-二聚体水平比较,差异有统计学意义(χ2=4.854、81.241、39.563、130.541,P<0.05);急性脑出血患者的血浆D-二聚体水平和急性脑出血的严重程度以及早期预后存在显著的关联(OR=1.541,P<0.05),而血肿量与急性脑出血的严重程度以及早期预后的关联性相对较低(OR=1.324,P<0.05),GCS评分以及年龄和急性脑出血的严重程度以及早期预后的相关性相对最低(OR=1.131,P<0.05).结论:在经过实验和分析对比后能够发现,患者的年龄、血肿量、GCS评分以及血浆D-二聚体水平都和急性脑出血患者的疾病严重程度以及早期预后具有一定关联,其中血浆D-二聚体水平关联性最高,因此在临床诊断和急救的过程中,医疗人员必须要对患者的凝血情况、血肿量以及昏迷的状况第一时间进行检测和分析,并且采取合理的措施展开急救,以保障能够挽救更多急性脑出血患者宝贵的生命.
Influencing Factors of Disease Severity and Early Prognosis in Patients with Acute Intracerebral Hemorrhage
Objective:To analyze and explore the severity of patients and the influencing factors of the early prognosis,so as to improve the diagnosis and treatment effect of acute cerebral hemorrhage.Methods:66 patients with acute intracerebral hemorrhage admitted to the hospital from January 2020 to November 2022 were selected as the research objects.According to the survival of the patients one week after hospitalization,they were divided into two groups:survival group and death group.The indicators of the patients were analyzed.The patient indicators to be collected in the experiment include admission age,gender,disease history,history,admission GCS score,hematoma volume and plasma D-dimer level,etc.Multivariate logistics regression analysis was used to analyze the severity of the disease and early prognosis.Results:After index analysis and comparison,the differences in age,hematoma volume,GCS score,and plasma D-dimer levels in the survival group and the death group were statistically significant(χ2=4.854,81.241,39.563,130.541;P<0.05).The plasma D-dimer level of patients with acute cerebral hemorrhage was significantly associated with the severity of acute cerebral hemorrhage and the early prognosis(OR=1.541,P<0.05).However,the association of the hematoma volume with the severity of acute ICH and the early prognosis was relatively low(OR=1.324,P<0.05).The GCS score and age and severity of acute ICH and early prognosis had the relatively lowest correlation(OR=1.131,P<0.05).Conclusion:After experiment and analysis,the patient's age,hematoma,GCS score and plasma D-dimer level and the severity of disease severity and early prognosis,the plasma D-dimer level the highest correlation,so in the process of clinical diagnosis and first aid,medical personnel must detect and analyze the clotting condition,the amount of hematoma and the status of coma in the first time,and take reasonable measures to carry out first aid,so as to save more precious lives of patients with acute cerebral hemorrhage.

Acute cerebral hemorrhageSeverityInfluencing factors of early prognosis

卢小可、艾艳平、韩世俊

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许昌市立医院神经外科,河南 许昌 461000

急性脑出血 严重程度 早期预后影响因素

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(11)