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The Research Of Prognosis And Related Factors Of Supratentorial Intracerebral Hemorrhage In Urumqi

Posted on:2016-05-19Degree:MasterType:Thesis
Country:ChinaCandidate:L M J A B D K D E AFull Text:PDF
GTID:2284330464455180Subject:Surgery
Abstract/Summary:PDF Full Text Request
Objective:To investigate the factors associated short-term prognosis of patients with cerebral hemorrhage and prognosis of the screen Urumqi.Methods:According to data in 2012 hemorrhagic stroke Urumqi subject databases, retrospective analysis of clinical data from Urumqi eight hospitals from June 2012 to June 2014 were treated 800 cases of hemorrhagic stroke patients, select one of the 184 patients curtain on patients with cerebral hemorrhage, according to the NIHSS and GCS prognosis prognosis Rating Scale Rating Scale and statistical follow-up of these patients were discharged after January, March, June prognosis, its prognosis is divided into improvement (healing progress) group and not better (no change, worse, death) group, better analysis and comparison groups, and the difference between groups did not improve prognostic factors with a single factor, on univariate analysis were statistically significant variables using unconditional logistic regression multivariate analysis, independent risk factors for further screening prognosis. Results:The two groups of prognostic factors in univariate analysis, age, history of hypertension, history of high cholesterol, fasting blood glucose, blood loss, whether or not broken into the ventricle, NIHSS scORe, GCS score was statistically significant; have hypertension [OR=20.975 (95% CI 1.796-244.933)], there is a history of high cholesterol [OR=8.009 (95% CI 1.493-42.964)], fasting plasma glucose> 7.8mmol/L[OR= 20.379 (95% CI 3.485-119.184)], bleeding volume> 30ml [OR= 14.674 (95% CI 2.620-82.182)], the severity of neurological deficits> 15 points (NIHSS scORe 0-10 divided into mild,11 to 20 are divided into moderate and> 20 divided severe) [OR= 16.654 (95% CI 1.633-169.825)], Glasgow coma scORe> 8 points [OR=24.624 (95% CI 2.255-268.844)], the blood into the ventricles [OR=9.693 (95% CI 2.028-46.329)] (all P<0.05) in patients 6 months of poor prognosis. Conclusion:According to hemorrhagic stroke, respectively, in January, March, June prognosis inside, you can clear age, hypertension, a history of high cholesterol, fasting blood glucose, the severity of neurological deficit (NIHSS score), Glasgow Coma Scale, the amount of bleeding, whether breaking into the ventricle is a major risk prognostic factors. In clinical outcomes for patients having an independent risk factor should be highly valued.
Keywords/Search Tags:Hemorrhagic, Stroke, Prognosis
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