动脉瘤性蛛网膜下腔出血患者死亡的相关因素分析

Analysis of the relevant factor for influence mortality in patient with aneurysmal subarachnoid hemorrhage

目的探讨影响动脉瘤性蛛网膜下腔出血(aSAH)患者死亡的相关因素。方法对30例aSAH死亡患者及53例生存患者的临床资料进行对比和分析,参考指标包括年龄、性别、相关病史、Hunt-Hess分级、Fisher评分、GCS评分、动脉瘤部位、有无手术治疗及并发症等。结果数据的单因素分析提示年龄、高血压、Hunt-Hess分级、Fisher评分、GCS评分、再出血、症状性脑血管痉挛与aSAH患者的死亡有显著相关性。多因素回归分析显示年龄、Hunt-Hess分级、再出血和症状性脑血管痉挛是独立危险因素。结论年龄、Hunt-Hess分级、再出血和症状性脑血管痉挛是影响aSAH患者死亡的主要因素。

Objective To explore the relevant factor for influence mortality in patient with aneurysmal subarachnoid hemorrhage. Methods Clinical data of 30 dead patients and 53 survival patients with aSAH were compared and analysed.Reference indicators include age,sex,relevant medical history,Hunt-Hess grade,Fisher score,GCS score, aneurysm site,surgical treatment and complication of patient. Results Single factor analysis showed that age,hypertension, Hunt-Hess grade,Fisher score,GCS score,rebleeding and symptomatic cerebral vasospasm were associated with death. Logistic regression found that age,Hunt-Hess grade,rebleeding and symptomatic cerebralvasospasm were significant risk factors correlated with mortality of aSAH. Conclusion Age,Hunt-Hess grade,rebleeding and symptomatic cerebral vasospasm are major factors affecting mortality of aSAH patient.