自发性脑出血患者并发症的相关危险因素分析

Associated risk factors for complications in spontaneous cerebral hemorrhage patients

目的分析自发性脑出血患者各种并发症的相关危险因素。方法回顾性分析443例自发性脑出血患者的临床资料,对并发症发生的可能危险因素进行Logistic回归分析。结果二分类Logistic回归分析显示,糖尿病史(OR=4.449,P<0.01)及脑出血破入脑室(OR=2.227,P<0.05)为自发性脑出血患者肺部感染的相关危险因素;意识水平(OR=2.715,P<0.01)及糖尿病史(OR=11.071,P<0.05)为自发性脑出血患者呼吸衰竭的相关危险因素;脂质代谢异常(OR=14.832,P<0.05)为自发性脑出血患者电解质紊乱的相关危险因素。结论自发性脑出血患者入院时伴有糖尿病史、脑出血破入脑室者在住院期间可能易发生肺部感染;伴有脂质代谢异常者可能易发生电解质紊乱;伴有意识障碍、糖尿病史者可能易发生呼吸衰竭。

Objective To analyze the associated risk factors for complications in spontaneous cerebral hemorrhage patients. Methods Clinical data about 443 spontaneous cerebral hemorrhage patients were retro- spectively analyzed and the possible risk factors for complications of spontaneous cerebral hemorrhage were ana- lyzed by logistic regression analysis. Results Binary logistic regression analysis showed that history of diabetes mellitus （DM） and cerebral hemorrhage into ventricles were the associated risk factors for pulmonary infection （ OR = 4. 449, P 〈 0. 01 ; OR = 2. 227, P 〈 0. 05 ） while level of consciousness and history of DM were the as- sociated risk factors for respiratory failure （ OR = 2. 715, P 〈0. 01 ; OR = 11. 071, P 〈0. 05） and abnormal lipid metabolism was the associated risk factor for electrolyte disturbance （ OR = 14.832, P 〈 0.05 ） in sponta- neous cerebral hemorrhage patients. Conclusion Spontaneous cerebral hemorrhage patients accompanying his- tory of DM at admission and cerebral hemorrhage in ventricles after admission are easy to occur pulmonary infec- tion. Those with abnormal lipid metabolism or disturbance of consciousness and history of DM are easy to have electrolyte disturbance or respiratory failure.