急性重症脑血管病患者死亡危险因素分析

Analysis of the death risk factors of patients with severe cerebral vascular disease

目的：探讨急性重症脑血管病患者发生死亡的危险因素。方法对80例急性重症脑血管病患者的临床资料进行回顾性分析，根据临床结局，分为存活组与死亡组，采用Logisitic回归分析死亡危险因素。结果存活组与死亡组患者的例数分别为59例（73．75％）与21例（26．25％）；经多元回归分析后，年龄、体温、格拉斯哥昏迷评分、高血压、脑卒中、糖尿病、慢性阻塞性疾病、消化道出血、肺部感染、颅内再出血或梗死以及多器官功能衰竭等因素，与患者的病死率呈显著相关（ P＝0．023、0．011、0．002、0．028、0．004、0．023、0．029、0．028、0．001、0．007、0．001）。结论急性重症脑血管病患者死亡与患者年龄、合并疾病、并发症状及疾病特征等多种因素有关。

Objective To investigate the death risk of patients with severe cerebral vascular disease. Methods The clinical data of 80 cases of patients with severe cerebral vascular disease were analyzed retrospectively. According to the clinical outcome,80 cases were divided into the survival group and death group,and the factors of death risk were analyzed by Logistic regression.Results The cases of the survival group and death group patients were 59 cases（73.75%） and 21 cases（26.25%） respectively.After multiple regression analysis,age,temperature, glasgow coma score,hypertension,stroke,diabetes,chronic obstructive disease,digestive tracthemorrhage,pneumonia, intracranial hemorrhage or infarction and multiple organfailure were correlated with the death of patients with severe cerebral vascular disease significantly（P=0.023,0.011,0.002,0.028,0.004,0.023,0.029,0.028,0.001,0.007, 0.001）.Conclusion The death of patients with severe cerebral vascular disease is associated with age,combined disease,syndrome and disease attributes.