高血压脑出血术后精神障碍发生率及影响因素logistic回归分析

Logistic regression analysis of the incidence and influencing factors of mental disorders after hypertensive intracerebral hemorrhage

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(5)
作者
作者单位

广元市中心医院 ;
广元市中心医院 ;

摘要
【摘要】目的:探讨高血压脑出血术后精神障碍的发生率及影响因素logistic回归分析,为治疗高血压脑出血术后精神障碍提供临床依据。方法:抽取我院心内科神经外科收治的高血压脑出血患者102例作为研究对象,并采用logistic回归分析方法对患者基本资料、家庭情况、社会关系、既往(病)史、脑出血、治疗及术后情况等方面因素进行logistic回归分析,筛选出导致脑出血术后精神障碍发生的危险因素。结果: 32例脑出血患者术后出现精神障碍,脑出血术后精神障碍发生率31.36%(32/102);单因素分析结果:性别、家庭关系、经济状况、出血部位、手术方式、基础疾病、改良Barthel指数等是差异性较为显著的因素;多因素回归分析结果:性别、家庭关系、经济状况、手术方式及改良Barthel指数是发生脑出血术后精神障碍的危险因素。结论:高血压脑出血术后发生精神障碍是由多种因素共同作用所导致的,对于精神障碍严重患者应及早进行干预治疗。
Abstract
【Abstract】 Objective: To explore the incidence of mental disorders after hypertensive intracerebral hemorrhage and the influencing factors logistic regression analysis, for the treatment of hypertensive intracerebral hemorrhage after surgery to provide clinical basis. Methods: 102 patients with hypertensive intracerebral hemorrhage were enrolled in this study. Logistic regression analysis was used to analyze the basic data, family status, social relationship, previous history, cerebral hemorrhage, treatment and postoperative And other factors to logistic regression analysis, screening out the cause of cerebral hemorrhage after the occurrence of mental disorders risk factors. Results: The incidence of mental disorders was 32.34% (32/102) in 32 patients with cerebral hemorrhage. The results of univariate analysis were gender, family relationship, economic status, bleeding location, surgical procedure, underlying disease , The improved Barthel index and so on were the most significant factors. Multivariate regression analysis showed that gender, family relationship, economic status, surgical methods and improved Barthel index were the risk factors for mental disorders after cerebral hemorrhage. Conclusion: The mental disorder after hypertensive intracerebral hemorrhage is caused by the combination of various factors. For patients with severe mental disorders, they should be treated as early as possible.
关键词
【关键词】高血压脑出血;精神障碍;影响因素;回归分析
KeyWord
【Key words】 Hypertensive cerebral hemorrhage; Mental disorder; Influencing factors; Regression analysis
基金项目
页码 836-840
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钟冬胜*,邓有琦, 何明方,龚洪福,谭博,林峰. 高血压脑出血术后精神障碍发生率及影响因素logistic回归分析 [J]. 国际精神病学杂志. 2017; 44; (5). 836 - 840.

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