[1]孔杰,戎金花,颜骏,等.影响青年人自发性脑出血预后的相关因素分析[J].临床神经外科杂志,2016,(03):231-234.
 KONG Jie,RONG Jin-hua,YAN Jun,et al.Analysis of relevant factors to prognosis of spontaneous intracerebral hemorrhage in young adults[J].Journal of Clinical Neurosurgery,2016,(03):231-234.
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影响青年人自发性脑出血预后的相关因素分析()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2016年03期
页码:
231-234
栏目:
临床研究
出版日期:
2016-06-10

文章信息/Info

Title:
Analysis of relevant factors to prognosis of spontaneous intracerebral hemorrhage in young adults
作者:
孔杰戎金花颜骏陆培松湛利平许恩喜李巧玉
212002 镇江市第一人民医院神经外科(孔杰,颜骏,陆培松,湛利平,许恩喜,李巧玉),手术室(戎金花)
Author(s):
KONG JieRONG Jin-huaYAN Junet al.
Department of Neurosurgery,Zhenjiang First People’s Hospital,Zhenjiang 212002,China
关键词:
自发性脑出血青年预后
Keywords:
spontaneous intracerebral hemorrhageyoung adultprognosis
文献标志码:
D
摘要:
目的:研究影响青年自发性脑出血患者预后的相关因素,指导青年自发性脑出血的治疗。方法:回顾性分析2012年1月~2014年12月镇江市第一人民医院神经外科收治的83例青年自发性脑出血手术治疗患者的临床资料。根据发病后3个月时的格拉斯哥预后量表(GOS)评分,将患者分为预后良好组(GOS评分≥4分)和预后不良组(GOS评分≤3分)。比较两组患者的格拉斯哥昏迷量表(GCS)评分、收缩压、平均动脉压、出血量、血脂水平、发病时随机血糖水平、血肿是否破入脑室、凝血功能、肝功能及肾功能,分析其是否与预后有关。结果:预后良好组与预后不良组的GCS评分、收缩压、平均动脉压、出血量、血脂水平、发病时随机血糖水平比较,差异有统计学意义(均P<0.05);而凝血功能、肝功能及肾功能的差异无统计学意义(均P>0.05)。结论:影响青年人自发性脑出血预后的有关因素较多,GCS评分、收缩压、平均动脉压、出血量、血脂水平、发病时随机血糖水平与其预后有显著的关系,可用于预测青年自发性脑出血的预后。
Abstract:
Abstract:Objective:To investigate the factors affecting the prognosis of spontaneous intracerebral hemorrhage in young adults.Methods:The clinical data of 53 young adults with spontaneous intracerebral hemorrhage whom underwent operation from January 2012 and December 2014 were analyzed retrospectively.We analyzed the differences in many prognostic factors and the outcome was measured by the Glasgow outcome scale(GOS) at 3 months after discharged. Results:A statistically significantly higher initial Glasgow coma scale(GCS),lower initial systolic blood pressure, smaller ICH volumes,lower blood glucose level and cholesterol level were found in patients with good outcomes.Conclusion:In this study,systolic blood pressure, ICH volumes, blood glucose level and cholesterol level could be used to predict the prognosis of spontaneous intracerebral hemorrhage in yound adults.

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更新日期/Last Update: 2016-06-15