【摘要】 目的:探讨影响丘脑出血患者预后的影响因素。方法:选取2011年1月至2018年1月东莞市人民医院收治的丘脑出血患者345例,按治疗1个月后患者的格拉斯哥预后量表(GOS)评分分为预后良好组146例与预后不良组199例,采用Logistic回归对影响丘脑出血患者预后的因素进行分析。结果:经单因素分析,丘脑出血分型、年龄、入院格拉斯哥昏迷量表(GCS)评分、凝血功能、出血量、出血是否破入脑室、手术方式为影响丘脑出血患者预后的重要因素;多因素Logistic回归分析显示,丘脑前部、丘脑内侧、丘脑后部出血,出血量,侧脑室钻孔外引流术、立体定向血肿排空术为影响丘脑出血患者预后的危险因素。结论:丘脑前部、丘脑内侧、丘脑后部出血,出血量,侧脑室钻孔外引流术、立体定向血肿排空术为影响丘脑出血患者预后的危险因素,对上述因素加强重视能够提升患者的康复效果。更多还原

【Abstract】 Objective To explore the factors affecting the prognosis of patients with thalamic hemorrhage.Methods A total of 345 patients with thalamic hemorrhage admitted to Dongguan People’s Hospital from January 2011 to January 2018 were selected.According to the Glasgow Outcome Scale (GOS) score of the patients after one month of treatment,they were divided into a good prognosis group with 146 cases and a poor prognosis group with 199 cases.Logistic regression was used to analyze the factors affecting the prognosis of patients with thalamic hemorrhage.Results After univariate analysis showed that,the classification of thalamic hemorrhage,age,admission GCS score,coagulation function,bleeding volume,whether the bleeding broke into the ventricle,and the operation method were important factors affecting the prognosis of patients with thalamic hemorrhage;Multivariate logistic regression analysis showed that the anterior thalamus,the medial thalamus,and the posterior thalamus hemorrhage,hemorrhage volume,lateral ventricle drilling and drainage,and stereotactic hematoma emptying were risk factors affecting the prognosis of patients with thalamic hemorrhage.Conclusion Anterior thalamus,medial thalamus,posterior thalamus hemorrhage,bleeding volume,lateral ventricle drilling and drainage,and stereotactic hematoma emptying are risk factors that affect the prognosis of patients with thalamic hemorrhage.Paying more attention to the above factors can improve the rehabilitation effect of patients.更多还原