《中国康复理论与实践》

《中国康复理论与实践》 ›› 1996, Vol. 2 ›› Issue (03): 103-107.

• 理论与实践 • 上一篇    下一篇

急性脑出血性卒中病人生活自理能力的预后预测

燕铁斌; 许俭兴; 黄利荣; 萧秀红   

  1. 中山医科大学孙逸仙纪念医院
  • 收稿日期:1996-03-06 出版日期:1996-09-25 发布日期:1996-09-25

Outcome Prediction of Inpatients with First Heamorrhagic Apoplexy

Yan Tiebin,Xu Jianxing,Huang Lirong,et al   

  1. Chinese Journal of Rehabilitation Theory & Practice.-1996,2(3):103～107
  • Received:1996-03-06 Published:1996-09-25 Online:1996-09-25

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摘要： 本文分析我院1992．10．1．～1993．12．31．急性初发脑出血性卒中的住院病例，共95例（男49例，女46例），平均年龄58．9岁，根据出院时生活能否自理分为基本自理组和不能自理组，从入院资料中选择19项指标作为可能影响功能预后的因素，用Logistic回归分析各变量对预后的影响，证实发病时昏迷，大小便失禁，肢体偏瘫，血尿素氮增高是影响生活自理能力的主要因素，其次为肺部感染及腋出血量。年龄大于70岁，高血压年限超过20年者，生活不能自理的发生率明显增加；而性别、住院天数、有无合并症、发病时的血糖、血脂及心电图改变等对预后的影响不大。

关键词: 出血性脑卒中, 生活自理能力, 预后预测, logistic回归

Abstract: Ninety- five cases(49 male .46 female)with first heamorrhagic cerebral apoplexy. fromOct.1 . 1992 to Dec.31 .1993. were analyzed.The Average age was58.9. Patients were divided intotwo groups. the self care and the non- self care. Ninteen variables which were supposed likely to be relatedto functional outcome were chosed from the admitted record of each patient and analyzed with mutltiple lo-gistic regression. Results showed that the major predictors of poor outcome are coma. incontinent and hemi-plegia at onset and abnormal blood urea nitrogen. pulmonary infection and bleeding amount more than 3 0ml at admitted.Cases older than 70 years.high blood presure longer than 20 years have a tendency of moredependence in functional abilities.Factors that do not predict outcome after heamorrhagic stroke are sex.days in the hospital,cormorbidities. as well as level of blood surgar and cholestral.EKG changes at admitted time.

Key words: heamorrhagic apoplexy.outcome prediction. multiple logistic regression