脑血管危重患者预后的危险因素探讨.doc

脑血管危重病患者预后的危险因素探讨 刘娜 山东省枣庄市立医院 外科 摘要 目的：探讨脑血管危重病患者预后的危险因素，为深入和全面了解脑卒中患者的治疗与转归工作提供一线临床基础资料。方法：把脑卒中患者治疗预后转归状况多元相关影响因素进行评分量化，应用Cox比例风险模型研究脑血管危重病患者预后健康状况相关因素，对我医院住院收治脑梗死患者随机选取总共208例做为研究对象，其中96例接受溶栓治疗，另外112例接受传统常规治疗。结果：脑血管危重病患者预后危险相关影响因素包括患者年龄、性别、遗传家族史、高血压、糖尿病、吸烟、饮酒、超重（肥胖）、户外运动、血脂异常、规范治疗以及是否合并其它疾病等。结论：Cox比例风险模型在脑血管危重病患者预后的危险因素研究中的应用为医院减少或控制急性脑血管提供新的手段与依据。 关键词：脑血管；危重病患者；预后；危险因素 Investigate the cerebrovascular risk factors for the prognosis of critically ill patients Abstract: Objective: To study the prognosis of critically ill patients of cerebral vascular risk factors, in-depth and comprehensive understanding of the treatment and prognosis of stroke patients with a clinical basis. Methods: The patients with stroke treatment prognosis of multiple related factors score to quantify, using the Cox proportional hazards model to study the cerebral vascular prognosis in critically ill patients health related factors, to our hospital were randomly selected from a total of 208 cases of patients with cerebral infarction as an object of study, including 96 patients receiving thrombolytic therapy, the other 112 cases receiving traditional conventional treatment. Results: Cerebrovascular in critically ill patients prognosis related factors including patient age, gender, and family history, hypertension, diabetes, smoking, alcohol consumption, weight ( obesity ), outdoor sports, dyslipidemia, standard treatment and whether or not combined with other diseases. Conclusion: The Cox proportional hazards model in cerebral vascular prognosis in critically ill patients risk factors research applications for hospitals to reduce or control the acute cerebral vascular provide new means and basis. Key words: Cerebrovascular; Critically ill patients; Prognosis; Risk factors 随着，改变，，脑卒中是人类三大致命病因之一。在我国其病死率仅次于恶性肿瘤，排名第二，每年157／10万人口。缺血性脑血管病39～78岁之间，患者平均年龄为61.76±14.63岁。其中男性总共有119人，平均年龄为62.47±14.59岁；女性为89人，平均年龄为59.23±14.82岁。所有病例诊断标准均按照中华人民共和国卫生部中华医学总会-神经病学分会颁布执行的《2011年中国脑卒中诊治指南》[6]