论文部分内容阅读
目的对脑出血患者进行MICH评分,预测30 d死亡率及预后功能恢复情况。方法对入选的脑出血患者初期进行MICH评分,以发病1个月为观察终点,观察患者30 d死亡率,对存活患者进行MRS评分判断患者预后。结果 MICH评分<3分患者30 d死亡率明显低于评分≥3分的患者,且存活患者中以MRS为标准进行神经功能评价,在MRS<4分(神经功能恢复良好)的患者中MICH<3分的患者比例明显高于MICH≥3分的患者,差异有统计学意义(P<0.05)。结论 MICH能较好的预测脑出血患者30 d死亡率及预后功能恢复情况。
Objective To evaluate the MICH score of patients with cerebral hemorrhage and predict the 30-day mortality rate and prognosis recovery. Methods The initial stage of cerebral hemorrhage in selected patients with MICH score, the incidence of 1 month as the end point of observation of 30-day mortality in patients with MRS score survivors to determine the prognosis of patients. Results The 30-day mortality of patients with MICH score <3 was significantly lower than that of patients with score> 3, and the neurological function was evaluated by MRS in survivors. In patients with MRS <4 (good neurological recovery), MICH < The proportion of patients with 3 points was significantly higher than those with MICH≥3 points, the difference was statistically significant (P <0.05). Conclusions MICH can better predict 30-day mortality and recovery of prognosis in patients with intracerebral hemorrhage.