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目的研究动脉瘤性蛛网膜下腔出血(subarachnoid hemorrhage caused by aneurysms,SAHa)患者预后的相关因素。方法对79例SAHa患者的病历资料进行回顾性研究,包括现病史、既往史、体格检查、常规辅助检查及数字血管减影(DSA)检查,对计数资料采用χ2检验或Fisher确切概率法检验,对P<0.05的指标进行Logistic回归分析。结果性别、高血压史、动脉瘤部位及治疗方法各组间差异无统计学意义。患者的年龄和Hunt-Hess分级2项危险因素在单因素分析中各组间P<0.05,将这2项危险因素进行Logistic回归分析后提示发病年龄增加及Hunt-Hess分级增高的患者临床预后更差。结论 Hunt-Hess分级越高、年龄越大,预后越差,作为影响因素在一定程度上制约着SAHa患者的临床预后。
Objective To study the prognostic factors of patients with subarachnoid hemorrhage caused by aneurysms (SAHa). Methods A retrospective study was conducted on medical records of 79 cases of SAHa patients, including history of illness, past history, physical examination, routine auxiliary examinations and digital subtraction angiography (DSA). Chi - square test or Fisher exact test was used to count data. Logistic regression analysis was used to analyze the index of P <0.05. Results There was no significant difference in sex, history of hypertension, location of aneurysms and treatment methods between groups. Patient’s age and Hunt-Hess grade 2 risk factors in each group P <0.05, Logistic regression analysis of these two risk factors prompted the age of onset increased and Hunt-Hess grade increased clinical prognosis more difference. Conclusions The higher the Hunt-Hess grade, the older, the worse the prognosis, as a factor affecting the clinical prognosis of patients with SAHa to some extent.