高血压脑出血患者短期预后的影响因素及BAT评分的预测效果
作者:
作者单位:

中国人民解放军南部战区海军第二医院神经外科,海南 三亚 572008

作者简介:

陈宏尊(1969—),男,汉,主任医师,本科,主要从事神经外科相关工作。

通信作者:

陈颖虎,Email:chenlaohu79@126.com。

基金项目:

三亚市医疗卫生科技创新项目(2018YW22)。


Influencing factors for the short-term prognosis of patients with hypertensive intracerebral hemorrhage and the predictive effect of BAT score
Author:
Affiliation:

Departent of Neurosurgery, The Second Hospital of Southern Dstrct of PLA Navy, Sanya, Hainan 572008, China

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    摘要:

    目的 分析高血压脑出血患者短期预后的影响因素及非增强CT 5分预测法(BAT)评分的预测效果。方法 2016年1月—2020年12月在中国人民解放军南部战区海军第二医院治疗的618例高血压脑出血患者,将其中术后28 d内死亡的62例患者设为死亡组,其余556例存活的患者设为存活组。分析高血压脑出血患者术后28 d内死亡的影响因素,并采用受试者操作特征(ROC)曲线分析BAT评分对高血压脑出血患者术后28 d内死亡的预测价值。结果 术前24 h格拉斯哥昏迷量表(GCS)评分<6分、BAT评分≥4分、首次CT距发病时间短、合并术后24 h并发症为高血压脑出血患者术后28 d内死亡的影响因素(P<0.05)。ROC曲线分析显示,BAT评分预测高血压脑出血患者术后28 d内死亡的ROC曲线下面积(AUC)为0.892(P<0.01),95%CI为0.789~0.932,最佳截断值为4分,敏感度为88.29%,特异度为81.43%。结论 术前24 h GCS评分、BAT评分、首次CT距发病时间、术后24 h并发症为高血压脑出血患者术后28 d内死亡的影响因素,且BAT评分对患者预后有较佳的预测价值。国际神经病学神经外科学杂志, 2023, 50(3): 16-20]

    Abstract:

    Objective To investigate the influencing factors for the short-term prognosis of patients with hypertensive intracerebral hemorrhage and the predictive effect of five-point BAT (Blend sign, Any hypodensity, Time from onset to NCCT) score.Methods A total of 618 patients with hypertensive intracerebral hemorrhage who were treated in The Second Naval Hospital of Southern Theater Command of PLA from January 2016 to December 2020 were enrolled; 62 patients who died within 28 days after surgery were enrolled as death group, and the remaining 556 patients who survived were enrolled as survival group. The risk factors for death within 28 days after surgery were analyzed in patients with hypertensive intracerebral hemorrhage, and the receiver operating characteristic (ROC) curve was used to investigate the value of BAT score in predicting death within 28 days after surgery in patients with hypertensive intracerebral hemorrhage.Results Glasgow Coma Scale (GCS) score <6 points at 24 hours before surgery, BAT score ≥4 points, a short time from first CT to disease onset, and complications within 24 hours after surgery were risk factors for death within 28 days after surgery in patients with hypertensive intracerebral hemorrhage (P <0.05). The ROC curve analysis showed that BAT score had an area under the ROC curve of 0.892 (95% confidence interval: 0.789-0.932, P <0.01) in predicting death within 28 days after surgery in patients with hypertensive intracranial hemorrhage, with a sensitivity of 88.29% and a specificity of 81.43% at the optimal cut-off value of 4 points.Conclusions GCS score at 24 hours before surgery, BAT score, time from first CT to disease onset, and complications within 24 hours after surgery are risk factors for death within 28 days after surgery in patients with hypertensive intracerebral hemorrhage, and BAT score has a good value in predicting the prognosis of patients. [Journal of International Neurology and Neurosurgery, 2023, 50(3): 16-20]

    表 1 两组术前24 h资料比较Table 1
    表 2 两组各项术中及术后24 h资料比较Table 2
    Fig.
    表 3 高血压脑出血患者术后28 d内死亡的影响因素Table 3
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引用本文

陈宏尊,陈颖虎456.高血压脑出血患者短期预后的影响因素及BAT评分的预测效果[J].国际神经病学神经外科学杂志,2023,50(3):16-20111CHEN Hongzun, CHEN Yinghu222. Influencing factors for the short-term prognosis of patients with hypertensive intracerebral hemorrhage and the predictive effect of BAT score[J]. Journal of International Neurology and Neurosurgery,2023,50(3):16-20

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  • 收稿日期:2022-12-17
  • 最后修改日期:2023-05-30
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  • 在线发布日期: 2023-08-16
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