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目的 :研究成人结核性脑膜炎的诊断、治疗措施与预后的关系 ,探讨影响结脑预后的因素。方法 :收集本院 1 990～2 0 0 0年 42例住院结脑病人 ,分治愈组与未愈组 ,并对脑脊液参数、激素使用、临床症状、诊断时间等相关因素进行对照研究。结果 :经 χ2 统计 ,两组之间有显著性差异的因素为 :抗痨前是否使用激素 ,早、中期确诊 ,化疗方案不规则。结论 :合理应用激素 ,早期诊疗 ,规范治疗对结脑预后有重要意义
Objective: To study the relationship between diagnosis, treatment and prognosis of adult tuberculous meningitis and to explore the factors affecting the prognosis of tuberculous meningitis. Methods: Forty-two inpatients with tuberculosis of cesarean section in our hospital from 1990 to 2000 were divided into two groups: control group, non-treatment group and control group. The parameters of cerebrospinal fluid, hormone use, clinical symptoms, diagnosis time and other related factors were compared. Results: By χ2 statistics, there are significant differences between the two groups of factors: whether the use of hormones before anti-tuberculosis, early and mid-term diagnosis, chemotherapy regimens irregular. Conclusion: The rational use of hormones, early diagnosis and treatment, standardized treatment of tuberculous brain prognosis of great significance