ICU期间治疗方法对老年脑出血患者预后的影响

Effect of the Treatment Methods on the Prognosis of Elderly Patients with Cerebral Hemorrhage in ICU

【目的】观察ICU期间各种治疗措施对老年脑出血患者的预后影响。【方法】回顾分析入住ICU的249例老年脑出血患者的临床资料，采用单因素非条件Logistic回归分析各种治疗方法对患者预后的影响。【结果1249例老年脑出血患者存活196例、死亡53例；OR值结果显示，早期床旁微创血肿清除术、机械通气者行肺泡灌洗、应用重组活化因子VIIa（rFVIIa）、机械通气者尽量采用气管插管、使用奥美拉唑均对患者存活有保护意义。【结论】在ICU期间综合考虑老年脑出血患者的个体情况，ICU室内采取合适的、防止性治疗措施可降低病死率。

[Objective] To observe the effect of various treatment methods on the prognosis of elderly patients with cerebral hemorrhage in ICU. [Methods]The clinical data of 249 elderly patients with cerebral hemorrhage in ICU were analyzed retrospectively. Univariate non-conditional logistic regression analysis method was used to analyze the effect of various therapeutic methods on the prognosis of patients. [ResultslAmong 249 elderly patients with cerebral hemorrhage, 196 patients survived and 53 patients died. The OR value showed that early bedside minimally invasive surgery, bronchoalveolar lavage for the patients with mechanical ventilation, the application of recombined activating factor VIIa（rFVIIa）, tracheal intubation and the usage of omeprazole had protective effect on the survival of the pa- tients. [Conclusion] The individual status of elderly patients with cerebral hemorrhage in ICU should be considered. Appropriate and preventive treatment measures in ICU can reduce the mortality,