132例重症监护脑梗死患者的死亡危险因素分析

Study of risk factors of death in patients with cerebral infarction in NICU

目的 探讨影响重症监护脑梗死患者死亡的相关危险因素。方法 回顾性分析 2 0 0 1年 1月至 2 0 0 3年 1月住我院神经科重症监护室 (NICU) 1 32例脑梗死患者的年龄、糖尿病史、感染、意识状况、低蛋白血症及入院时白细胞计数、血糖等因素 ,并行多项逐步Logistic回归分析。结果 1 32例患者院内死亡 6 0例 ,死亡率为 4 5 .4 %。最终进入Logistic回归模型的因素有入院时白细胞计数、意识状况及低蛋白血症。 结论 入院白细胞计数、意识状况及低蛋白血症是重症监护脑梗死患者死亡的重要危险因素 。

Objective To investigate the risk factors of death in patients with cerebral infarction in NICU.Methods A retrospective cohort of 132 patients with cerebral infarction who were admitted to NICU in XuanWu Hospital between January 1,2001and January 1,2003 was studied, The relationship between in hospital mortality and clinical data including age,diabetes,infection,consciousness,hypoproteinemia,WBC count and blood sugar on admission was evaluated in Logistic regression model.Results There were 60 death in 132 patients, the in hospital mortality was 45.4%.WBC count?consciousness and hypoproteinemia on admission were involved in the Logistic regression model finally.Conclusions WBC count?consciousness on admission and hypoproteinemia are high risk factors of death in patients with cerbral infarction in NICU.We should enhance supervision and treat hypoproteinemia in the patients with cerebral infarction in NICU.