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	脑出血患者早期死亡的相关因素分析
	陈黔妹 ; 周翠萍 ; 夏一鲁 ; 曹贵方 ; CHEN Qianmei ; ZHOU Cuiping ; XIA Yilu
	2010-06-09 ; 2010-06-09
关键词	脑出血 早期死亡 危险因素 Intracerebral hemorrhage Early death Prognostic factor R743.34
其他题名	Risk Factors for Early Death in Patients with Intracerebral Hemorrhage
中文摘要	目的:探讨脑出血(ICH)患者早期死亡的危险因素。方法:对2001-2003年在我院住院的196例脑出血患者临床资料进行回顾性的分析,对17项起病3 d内的相关指标进行单因素及多因素Logistic回归分析。结果:Logistic回归分析显示,意识障碍、白细胞计数、年龄、尿素氮、血糖、发热、冠心病史7个变量进入回归方程比数比(OR),占95％可信区间 (95％CI)依次为2．53(1．73-3．71)、1．29(1．14-1．46)、1．09(1．04-1．15)、1.22(1．07-1．40)、1．22(1．05-1．41)、4．50(1．64 -12．40)和8．64(1．52-49．21)。回归模型对本组病人分类的总准确率为87．8％。结论:意识障碍、白细胞计数增加、发热、高龄、尿素氮升高、高血糖、合并冠心病可能为脑出血早期死亡的危险因素。; Objective:To investigate the risk factors of early death for intracerebral hemorrhage (ICH). Methods:Initial datas of 1% consecutive hospitalized patients with acute intracerebral hemorrhage were reviewed. Univariate and multiple logistic regression were performed to determine risk factors for early death. Results: Among all 17 variables involved in analysis, seven factors were finally found out to be significant independent predictors of early death. They were initial disturbance of consciousness ( odds ratio [OR],2. 53;95% confidence interval [95%CI],1.73-3.71),count of leukocyte (OR,1.29;95%CI,1. 14-1.46), age (OR,1.09; 95%CI,1.04-1.15)blood urea nitrogen(OR,1.22;95%CI,1.07-1.40),blood glucose (OR.1. 22;95%CI,1.05-1.41), fever (OR,4.50,95%CI, 1.64-12.40),history of coronary heart disease (OR,8.64;95%CI,1. 52-49.20). The overall correct percentage of the prognostic model was 87.8%. Conclusion:Initial disturbance of consciousness,elevated leukocyte,old age, blood urea nitrogen, hyperglycaemia, fever and coronary heart disease were the risk factors of early death for hospitalized acute ICH.
语种	中文 ; 中文
内容类型	期刊论文
源URL	[http://hdl.handle.net/123456789/59209]
专题	清华大学
推荐引用方式 GB/T 7714	陈黔妹,周翠萍,夏一鲁,等. 脑出血患者早期死亡的相关因素分析[J],2010, 2010.
APA	陈黔妹.,周翠萍.,夏一鲁.,曹贵方.,CHEN Qianmei.,...&XIA Yilu.(2010).脑出血患者早期死亡的相关因素分析..
MLA	陈黔妹,et al."脑出血患者早期死亡的相关因素分析".(2010).

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