96例高血压性脑出血患者30天生存相关因素分析

Analysis of 30 days survival related factors on 96 patients with hypertensive intracerebral hemorrhage

目的探讨影响高血压脑出血患者30天生存的早期因素。方法对96例有明确高血压病史、头颅CT确诊的脑出血患者,采用Logrank检验进行单因素分析,再将有显著性的指标用多因素COX模型进行分析。结果入院时的GCS评分、收缩压、舒张压、体温、血糖、出血量、是否破入脑室等,在单因素分析时均影响患者的30天生存情况;多因素COX模型分析显示,GCS评分、体温、血糖、出血量等是影响30天生存的主要危险因素。结论高血压脑出血急性期死亡的影响因素很多,昏迷、GCS评分低、出血量大、体温和血糖升高是预后差的早期主要临床征象。

Objective To explore the early factors influencing 30 days survival of hypertensive intracerebral hemorrhage. Methods The data of 96 cases of hypertensive intracerebral hemorrhage were analyzed with log-rank and cox model. Results GCS scores, systolic blood pressure （SBP）, diastolic blood pressure （DBP）, body temperature, FPG, the volume of hemorrhage whether or not breaking through ventricle were significant factors in log-rank and GCS scores, body temperature, FPG, the volume of hemorrhage showed a significant relation in cox model. Conclusion Many factors can induce the death of hypertensive intracerebral hemorrhage patients; the most important factors are coma, body temperature, FPG, the volume of hemorrhage.