成人原发性蛛网膜下腔出血80例入院特征及其与预后的相关性研究

Correlation of hospital characteristics and prognosis of 80 adults with primary subarachnoid hemorrhage

目的探讨成人原发性蛛网膜下腔出血的入院特征及其与预后的相关性。方法对1996年1月至2011年12月在重庆市第十三人民医院内科住院治疗的80例原发性蛛网膜下腔出血患者,按其预后分为死亡组(24例)和生存组(56例),对其入院特征进行回顾性分析。结果 80例患者的职业分布以铁路工人明显高于其他职业,两组平均年龄、≥60岁患者比例、是否有高血压病史、烟酒史,入院时血压高、昏迷、发热、白细胞增高、心电图异常、入院收缩压、世界卫生组织-国际高血压联盟高血压分级等比较,差异均有统计学意义(P<0.05);而性别、诱因、高血糖、头痛、呕吐、低血钾、平均就诊时间、入院舒张压等比较,差异均无统计学意义(P>0.05)。结论原发性蛛网膜下腔出血入院特征、初诊医生对疾病认识程度以及住院健康教育情况等与预后相关。

Objective To explore the correlation of hospital characteristics and prognosis of adult patients with primary subarachnoid hemorrhage（PSAH）. Methods Eighty patients with PSAH,who were treated in the Department of Internal Medicine in the 13th People′s Hospital of Chongqing from January 1996 to December 2011,were divided in to death group（n=24） and sur-vival group（n=56） according to the prognosis,and the hospital characteristics of the patients were analyzed retrospectively. Results Incidence rate of railway workers was higher than that of other occupations. The comparison of average age,proportion of patients more than 60 years,history of hypertension,history of alcohol and tobacco,blood pressure on admission,comma,fever,leukocyto-sis,electrocardiographic abnormality,systolic pressure on admission and hypertension classification of WHO-ISH between the death group and the control group had statistically significant difference（P〈0.05）;but the differences on gender,incentive,hy-perglycemia,headache,vomit,hypokalemia,mean time of diagnosis and diastolic pressure on admission between the two groups were not statistically significant（P〉0.05）. Conclusion Hospital characteristics,understanding degree to the disease of primary-care doctors and health education in hospital of PSAH patients are associated with prognosis.