摘要
目的对结核性脑膜炎患者早期诊断的影响因素进行研究分析,从而针对影响因素进行诊断,提高诊断准确率。方法该院在2018年2月-2020年2月共收治了80例结核性脑膜炎的患者,将其作为脑膜炎组患者,在选择同时期该院收治的发生非结核性脑膜炎的50例颅内感染患者,将其作为非脑膜炎组,通过单因素和多因素分析,分析影响早期结核性脑膜炎患者的诊断的危险因素。结果多因素分析发现,发热、颈强直、脑脊液的外观比较清亮为影响结核性脑膜炎患者早期诊断的独立影响因素(OR=12.659、9.193、5.645,95%CI=1.740~91.730、1.756~47.899、1.075~29.915)。结论结核性脑膜炎疾病对患者的生命安全以及生活质量均能够产生极大的威胁以及影响,且容易发生误诊情况,临床中需要针对影响早期诊断的独立因素进行诊断,提高诊断准确率,帮助患者改善生活质量,保障生命安全。
Objective To study and analyze the influencing factors of the early diagnosis of tuberculous meningitis,so as to diagnose the influencing factors and improve the accuracy of diagnosis.Methods From February 2018 to February2020 in the hospital,a total of 80 patients with tuberculous meningitis were admitted,and they were regarded as the meningitis group.50 patients with tuberculous meningitis with intracranial infection were regarded as the non-meningitis group.Through single-factor and multi-factor analysis,the risk factors affecting the diagnosis of early tuberculous meningitis were analyzed.Results Multivariate analysis found that fever,stiffness of the neck,and clearer appearance of cerebrospinal fluid were independent factors affecting the early diagnosis of tuberculous meningitis(OR=12.659,9.193,5.645,95%CI=1.740-91.730,1.756-47.899,1.075-29.915).Conclusion Tuberculous meningitis disease can have a great threat and impact on the life safety and quality of life of patients,and is prone to misdiagnosis.It is necessary to diagnose the independent factors that affect early diagnosis in clinical practice to improve the accuracy rate of diagnosis,to help patients improve their quality of life and ensure their safety.
作者
陈科宇
曾志
CHEN Keyu;ZENG Zhi(Department of Neurology,Fuling Central Hospital,Chongqing,408000 China)
出处
《系统医学》
2021年第15期47-49,共3页
Systems Medicine
关键词
结核性脑膜炎
诊断
影响因素
单因素
多因素
Tuberculous meningitis
Diagnosis
Influencing factors
Single factor
Multiple factors
