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目的:分析影响结核性脑膜炎预后的因素。方法:回顾性整理及分析88例结核性脑膜炎患者的临床资料如基本资料、离子检查、脑脊液生化检查等。结果:88例结核性脑膜炎患者中,男性56例,女性32例,汉族29例,少数民族59例,年龄2岁至76岁。汉族和少数民族结脑预后有统计学差异(P=0.032)。对患者的年龄、性别、民族、离子、脑脊液、脑压、昏迷时间等研究参数进行多因素logistic回归分析,发现民族、血清Na(是影响结脑预后的因素(or=4.414,P=0.037,or=0.781,P=0.000)。结论:民族、血清Na(为结核性脑膜炎预后的独立危险因素,对这些因素的检测将有助于其预后的改善。
Objective: To analyze the factors affecting the prognosis of tuberculous meningitis. Methods: The clinical data of 88 patients with tuberculous meningitis were retrospectively analyzed and analyzed, such as basic data, ion examination and biochemical examination of cerebrospinal fluid. Results: Of the 88 tuberculous meningitis patients, 56 were male, 32 were female, 29 were Han nationality, and 59 were minorities, ranging in age from 2 to 76 years. Han and ethnic minority knot brain prognosis was statistically significant (P = 0.032). Multivariate logistic regression analysis of the parameters such as age, gender, ethnicity, plasma, cerebrospinal fluid, cerebral pressure and coma time showed that nationality and serum Na were the factors affecting the prognosis of tuberculoma (or = 4.414, P = 0.037, or = 0.781, P = 0.000) .Conclusion: National and serum Na (independent risk factors for the prognosis of tuberculous meningitis, the detection of these factors will help to improve their prognosis.