欢迎来到天天文库
浏览记录
ID:33771105
大小:980.16 KB
页数:36页
时间:2019-03-01
《自发性脑出血患者并发症的相关危险因素分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、重庆医科大学硕士学位论文自发性脑出血患者并发症的相关危险因素分析姓名:罗丹申请学位级别:硕士专业:神经病学指导教师:张和201205重庆医科大学硕士研究生学位论文自发性脑出血患者并发症的相关危险因素分析摘要背景自发性脑出血于各种急性脑血管病的病死率中排名首位,存活者中大约有75%遗留不同程度的肢体瘫痪症状【¨。自发性脑出血患者伴随的临床并发症,如肺部感染、呼吸衰竭及电解质紊乱等往往成为其最终致死原因之一。目前,国内外对自发性脑出血并发症的相关危险因素的报道不多,且结果也不尽相同,因此分析自发性脑出血并发症的相关危险因素有重要临床意义。目的通过统计学方法分析白发性脑出血患者主要并发症,如肺部感染
2、、呼吸衰竭及电解质紊乱等的相关危险因素,为防治自发性脑出血患者并发症的发生提供一定的参考依据。方法回顾性分析2010年3月至2011年9月重庆医科大学附属第一医院神内、神外科住院部443例自发性脑出血患者的临床资料,应用SPSSl6.0统计软件,采用一i分类变量Logistic回归分析探讨白发性脑出血患者八种可能的相关危险因素,如住院时间、意识水平、糖尿病、脂质代谢异常、破入脑室、白细胞、血红蛋白及血小板等与其主要并发症发生的相关性。结果自发性脑出血患者主要并发症为肺部感染,呼吸衰竭及电解质紊乱。二分类变量Logistic回归分析显示:1.糖尿病史(OR=4.449,P3、脑室(OR=2.227,P4、KFACTORSFORCOMPLICATIONSINSPONTANEOUSINTRACEREBRALHEMORRHAGEPATIENTSBackgroundABSTRACTspontaneousintracerebralhemorrhageisakindofseriousnervediseasethatthreatenstohumanhealthlife.Itisbrainhemorrhagebecauseofallsortsofreasonesoflargeandsmallarteries,veinsandcapillaryspontaneousrupture,butnottraumacas5、es.Itsincidence.mortalityishigh,andtheclinicalcomplicationsiscommon.Theclinicalcomplicationsinspontaneousintracerebralhemorrhagepatients,suchaslunginfection,respiratoryfailure,electrolyteimbalanceandSOon,oftenbecomeonereasonofitsfinaldeath.Atpresent,thereportsonAnalysisoftheassociatedriskfactorsforc6、omplicationsinspontaneousintracerebralhemorrhagepatientsarenottoomany,andtheresultsarealsodifferent,SOAnalysisoftheassociatedriskfactorsforcomplicationsinspontaneousintracerebralhemorrhagepatientshasimportantclinicalsignificanceoiectiveTheaimofthisstudyistoexploretheassociatedriskfactorsandtoprovide7、somereferenceforpreventionandcontrolofmajorcomplicationsinthespontaneousintracerebralhemorrhagepatients,suchaslunginfection,respiratoryfailure,electrolyteimbalanceandSOon.5MethodsInthisstudy,weretrosp
3、脑室(OR=2.227,P4、KFACTORSFORCOMPLICATIONSINSPONTANEOUSINTRACEREBRALHEMORRHAGEPATIENTSBackgroundABSTRACTspontaneousintracerebralhemorrhageisakindofseriousnervediseasethatthreatenstohumanhealthlife.Itisbrainhemorrhagebecauseofallsortsofreasonesoflargeandsmallarteries,veinsandcapillaryspontaneousrupture,butnottraumacas5、es.Itsincidence.mortalityishigh,andtheclinicalcomplicationsiscommon.Theclinicalcomplicationsinspontaneousintracerebralhemorrhagepatients,suchaslunginfection,respiratoryfailure,electrolyteimbalanceandSOon,oftenbecomeonereasonofitsfinaldeath.Atpresent,thereportsonAnalysisoftheassociatedriskfactorsforc6、omplicationsinspontaneousintracerebralhemorrhagepatientsarenottoomany,andtheresultsarealsodifferent,SOAnalysisoftheassociatedriskfactorsforcomplicationsinspontaneousintracerebralhemorrhagepatientshasimportantclinicalsignificanceoiectiveTheaimofthisstudyistoexploretheassociatedriskfactorsandtoprovide7、somereferenceforpreventionandcontrolofmajorcomplicationsinthespontaneousintracerebralhemorrhagepatients,suchaslunginfection,respiratoryfailure,electrolyteimbalanceandSOon.5MethodsInthisstudy,weretrosp
4、KFACTORSFORCOMPLICATIONSINSPONTANEOUSINTRACEREBRALHEMORRHAGEPATIENTSBackgroundABSTRACTspontaneousintracerebralhemorrhageisakindofseriousnervediseasethatthreatenstohumanhealthlife.Itisbrainhemorrhagebecauseofallsortsofreasonesoflargeandsmallarteries,veinsandcapillaryspontaneousrupture,butnottraumacas
5、es.Itsincidence.mortalityishigh,andtheclinicalcomplicationsiscommon.Theclinicalcomplicationsinspontaneousintracerebralhemorrhagepatients,suchaslunginfection,respiratoryfailure,electrolyteimbalanceandSOon,oftenbecomeonereasonofitsfinaldeath.Atpresent,thereportsonAnalysisoftheassociatedriskfactorsforc
6、omplicationsinspontaneousintracerebralhemorrhagepatientsarenottoomany,andtheresultsarealsodifferent,SOAnalysisoftheassociatedriskfactorsforcomplicationsinspontaneousintracerebralhemorrhagepatientshasimportantclinicalsignificanceoiectiveTheaimofthisstudyistoexploretheassociatedriskfactorsandtoprovide
7、somereferenceforpreventionandcontrolofmajorcomplicationsinthespontaneousintracerebralhemorrhagepatients,suchaslunginfection,respiratoryfailure,electrolyteimbalanceandSOon.5MethodsInthisstudy,weretrosp
此文档下载收益归作者所有