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目的:观察急性脑出血合并便秘患者的临床表现及对近期预后影响。方法:168例急性脑出血患者按住院期间有无脑出血分组,观察其临床表现和近期预后特征。结果:168例急性脑出血患者住院期间合并便秘患者69例(41.07%),未合并便秘患者99例(对照组,58.93%)。脑出血合并便秘患者入院时的格拉斯哥昏迷评分、神经功能缺损评分、多器官功能不全评分和日常生活活动能力评分均明显低于对照组,而后者中急性期合并症数目和平均住院天数也明显少于前者(P均<0.05~0.01)。结论:脑出血合并便秘可明显影响到患者急性期临床表现和近期预后。
Objective: To observe the clinical manifestations and prognosis of patients with acute cerebral hemorrhage complicated with constipation. Methods: A total of 168 patients with acute cerebral hemorrhage were divided into two groups according to whether they had intracerebral hemorrhage during hospitalization. Their clinical manifestations and recent prognosis were observed. Results: Among the 168 patients with acute cerebral hemorrhage, 69 cases (41.07%) had constipation during hospitalization and 99 cases did not have constipation (58.93% in control group). The scores of Glasgow coma score, neurological deficit score, multiple organ dysfunction score and activities of daily living in patients with cerebral hemorrhage complicated with constipation were significantly lower than those in control group, while the number of acute complications and average length of stay in the latter group were also significantly less The former (P <0.05 ~ 0.01). Conclusion: Cerebral hemorrhage complicated with constipation can significantly affect the clinical manifestations and recent prognosis of patients with acute phase.