影响基底节出血患者手术治疗预后的因素

Impact factors on prognosis of basal ganglia hematoma patients with surgical treatment

目的探讨影响基底节出血患者手术治疗预后的相关因素。方法对157例经手术治疗的基底节出血患者的临床资料[性别、年龄、术前格拉斯哥昏迷量表(GCS)评分、血糖、C-反应蛋白(CRP)水平、出血量、中线移位、脑室出血]与其预后进行相关性分析。结果单因素分析显示,患者的年龄、GCS评分、血糖、血肿量中线移位及脑室出血与预后显著相关(P<0.05～0.005)。多因素Logistic回归分析显示,年龄、GCS评分、血肿量及脑室出血为影响患者预后的独立相关因素(P<0.05～0.005)。结论影响基底节出血患者手术治疗预后的相关因素有年龄、GCS评分、出血量及脑室出血。

Objective To investigate the influence factors of affect prognosis of surgical treatment in patients with basal ganglia hematoma. Methods The correlative analysis was conducted between the clinical data [ gender, age, preoperative Glasgow coma seal （GCS） score, levels of blood glucose and C-ractive protein （CRP）, hematoma volume, middleline shift, intraventricular hematoma] of 157 patients with basal ganglia hematoma and prognosis. Results Univariate analysis showed that the age, GCS score, level of blood glucose, hematoma volume, middleline shift and intraventricular hematoma were significantly correlated with the prognosis（ P 〈 0. 05 - 0. 005 ）. Multivariate logistic regression analysis showed that the age, GCS scores, hematoma volume and intraventricular hematoma were the independent correlated factors affecting the prognosis （P 〈 0. 05 - 0. 005）. Conclusion The influence factors of affect prognosis of surgical treatment in patients with basal ganglia hematoma are age, GCS score, hematoma volume, intraventricular hematoma.