摘要
目的寻找一种高血压脑出血手术适应证的多因素分析方法并建立其数学模型,为计算机软件设计奠定基础。方法对1025例高血压脑出血病人入院时的22项变量及治疗选择、术式、疗效进行统计学分析。结果①单因素分析:本组手术选择与年龄、性别、高血压病史、出血(发病)至治疗时间、接受治疗时收缩压、舒张压、意识状态分级、瞳孔改变、偏瘫、脑疝、误吸、GCS-M、高血压脑出血分级、出血量、出血部位、破入脑室、中线结构、中脑及周围池改变、血糖、慢支、吸入性肺炎有关。②通过判别分析得出其手术与非手术治疗选择的判别式,组内回代一致符合率90.0%;通过判别分析得出治疗术式选择的判别式,组内回代一致符合率69.4%。结论该课题为临床个体化治疗高血压脑出血提供了辅助方法,为其手术治疗判断的计算机软件设计奠定了基础。
Objectives To search for the method of quantified analysis of multi-factors of operative indication of hypertensive intracerebral hemorrhage(HICH)and to establish its mathematical models.Method Twenty-two variables and therapeutic selection,operative method,curative effects were statistically analyzed in1025patients with HICH.Results①Mono-factor analysis:The statistically significant predictors of operative indication were age,sex,history of hypertension,time from the hemorrhage to treatment,blood pressure,consciousness states,pupil change,hernia cerebri,misinspiration,GCS,the scale of HICH,volume of hemorrhage,position of hemorrhage,haematoma in brain ventricles,changes in median line structure,mesemcephalon and circummesencephalic cisterna,blood glucose,chronic bronchitis and inhalation pneumonia.②The discriminants of operative selection and operative pattern for HICH were obtained respectively.The consistent homology rate of operative selection was90.0%within the original group.The consistent homology rate of operative pattern was69.4%within the original group.Conclusion The present results provide an available assistant method for the individualized clinical treatment of HICH and lay the foundation for the computer software design of the mathematical models.[
出处
《中国临床神经外科杂志》
2003年第1期27-31,共5页
Chinese Journal of Clinical Neurosurgery
关键词
高血压脑出血
手术适应证
多因素分析
数学模型
Hypertensive intracerebral hemorrhage
Operative indication
Multi-factors quantified analysis
Mathematical models
