摘要
目的探讨颅内动脉瘤性蛛网膜下腔出血患者预后影响因素。方法回顾性分析165例颅内动脉瘤性蛛网膜下腔出血手术患者的病历资料，对患者的年龄、性别、入院时PAASH分级、吸烟、高血压、高脂血症、脑血管痉挛、手术时机和手术方式等进行单因素和多因素Logistic回归分析。结果单因素分析结果显示，患者的年龄、入院时PAASH分级、吸烟、高血压、手术时机和手术方式是影响破裂颅内动脉瘤患者预后的影响因素。多因素Logistic回归分析显示年龄（OR=0．070）、PAASH分级（OR=2．542）、吸烟（OR=5．772）、高血压（OR=7．150）、手术时机（OR=2．908）和手术方式（0R=0．161）是影响破裂颅内动脉瘤患者预后的独立危险因素。结论准确的进行病情综合分析、选择最佳的手术时机和采用正确的手术方式是提高患者预后的关键。
Objective To investigate factors related to the prognosis of patients with ruptured intracranial aneurysm. Methods Clinical data of 165 patients with ruptured intracranial aneurysm treated with surgery were retrospectively analyzed. The age, gender, PAASH scale on admission, smoking, hypertension, hyperlipemia, cerebral vasospasm, timing of surgery and mode of surgery, etc. were analyzed by the simple and multiple Logistic regression models. Results Simple Logistic regression analysis indicated that age, PAASH scale on admission, smoking, hypertension, timing of surgery and mode of surgery were influencing factors for the prognosis of patients with ruptured intracranial aneurysm（aI1 P〈0.05）. Multiple Logistic regression analysis showed that age, PAASH scale on admission （ OR = 2. 542 ）, smoking （ OR = 5. 772 ）, hypertension （OR = 7. 150 ） , timing of surgery（OR = 2. 908） and mode of surgery （OR = 0. 161） were independent risk factors for the prognosis of patients with ruptured intracranial aneurysm（all P〈0. 05）. Conclusions Accuratel and systemsatic assessment of patient conditions and the optimal timing and mode of surgery are the key to improving the prognosis of patients with ruptured intracranial aneurysm.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2016年第6期596-599,共4页
Chinese Journal of Geriatrics
关键词
颅内动脉瘤
蛛网膜下腔出血
预后
Intracranial aneurysms
Subarachnoid hemorrhage
Prognosis
