[Prognosis of patients with intracerebral hemorrhage].
| Autor: | Tan GL; Department of Emergency, Nanchong Central Hospital, Nanchong 637000, China., Duan WT, Yang SY, Li SX, Sun ZY, Guo MG |
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| Jazyk: | čínština |
| Zdroj: | Zhonghua yi xue za zhi [Zhonghua Yi Xue Za Zhi] 2010 Oct 12; Vol. 90 (37), pp. 2640-2. |
| Abstrakt: | Objective: To study the related factors of patients with intracerebral hemorrhage (ICH) so as to guide treatment and predict prognosis. Methods: The prognostic factors of 463 cases with intracerebral hemorrhage were analyzed with single factor and Logistic regression analyses. Results: Age, Glasgow coma scale, amount of hemorrhage, NIHSS score, mean arterial blood pressure, with or without ventricular breakage, with or without midline shift and the incidence of complications at random blood glucose levels were analyzed for the correlation with the prognosis of patients. The poor prognosis group had significant differences with the good prognosis group with regards to these factors. The average age of patients with a poor prognosis was 71 years old, the average hematoma volume 29 ml and the average GCS score 11.2 versus 65 years old, 15 ml, 15.1 for those with a good prognosis (P < 0.05). Logistic regression analysis showed that age, amount of hemorrhage and disturbance of consciousness was an independent adverse prognostic factor for cerebral hemorrhage at three months. The OR values were 1.32, 8.66 and 1.08 respectively. Conclusion: The etiologies of ICH are diverse. Maintaining normal blood pressure is an important preventive measure for ICH. Hematoma volume, disturbance of consciousness and age may be used to predict the prognosis of cerebral hemorrhage. |
| Databáze: | MEDLINE |
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