持续性植物状态患者预后的影响因素

The correlative affecting factors on the prognosis of vegetative state

目的:观察损伤类型、发病年龄、入院时持续性植物状态(PVS)得分,以及综合康复治疗介入时间对脑损伤后植物状态患者的预后有无影响。方法:选取200例处于植物状态的患者,根据PVS疗效评定标准,测定入院时及入院后3个月的PVS得分,按照病种、发病年龄、入院时PVS得分以及综合康复治疗介入时病程长短四个标准分类,将疗效分为痊愈、显效、有效、无效四个级别,使用Logistic回归对损伤类型、发病年龄、入院时PVS得分、综合康复治疗介入早晚对植物状态患者预后的影响进行统计学分析。结果:持续性植物状态患者的预后与损伤类型无关(P>0.05),而与患者的发病年龄(P<0.05)、入院时PVS评分(P<0.05)以及综合康复治疗介入早晚(P<0.05)有关。结论:影响持续性植物状态患者预后的相关因素为发病年龄、入院时PVS评分、综合康复治疗介入时间。其中影响最大的因素为发病年龄。

Objective： To observe the influences of injury type,age of injury, PVS （persistent vegetative state） score on admission and intervention time of comprehensive rehabilitation treatment on the prognosis of vegetative state. Method： PVS scores in 200 vegetative patients were evaluated on admission and three months after admission. Efficacy was determined by four levels of cure, marked effect, effect and no effect. U test and H test were used to analyze. Result： Injury type didn＇t affect to the prognosis of vegetative state（P〉0.05）. Age of injury（P〈0.001）, PVS score on admission （P〈0.05） and intervention time of comprehensive rehabilitation treatment （P〈0.001） could affect the prognosis of vegetative state. Conclusion： The age of injury, PVS score on admission and early intervention of comprehensive rehabilitation treatment could affect the prognosis of vegetative state.