本文選題：腦血管意外 + 臨床轉歸�。� 參考：《中南大學》2014年碩士論文

【摘要】：目的： 研究腦血管意外的臨床轉歸及影響因素,為衛(wèi)生行政部門對腦血管意外的衛(wèi)生資源和費用投入,臨床科室制定治療方針、控制住院時間和醫(yī)療費用、康復指導、健康教育提供依據。 方法： 收集中南大學湘雅三醫(yī)院2008～2013年所有腦血管意外住院患者病案首頁資料,主要內容包括人口統(tǒng)計學信息、疾病特征、治療情況和衛(wèi)生經濟學指標信息等,分析腦血管意外的臨床轉歸及影響因素。統(tǒng)計分析采用SPSS13.0軟件進行分析。計數(shù)資料的比較用x2檢驗、非參數(shù)的秩和檢驗,影響因素的篩選采用Logistic回歸分析。 結果： 1.本研究共納入腦血管意外住院患者8826例,其中男性5348人,女性3478人。年齡最小為1歲,最大為101歲,中位數(shù)為63歲。70.3%的病例診斷為缺血性腦血管意外,29.7%診斷為出血性腦血管意外,其中23.6%診斷為腦出血,6.1%診斷為蛛網膜下腔出血。 2.研究對象的治愈率為3%,病死率為0.8%,多數(shù)為好轉93.7%,未愈率為2.6%。其中缺血性腦血管意外治愈率為1.7%,好轉率為96.8%,未愈率為1.2%,病死率為0.3%；出血性腦血管意外的治愈率為6.0%,好轉率為86.3%,未愈率為5.9%,病死率為1.9%。 3.多因素分析結果顯示：對全部腦血管意外病人而言,未實施過手術、缺血性腦血管意外、住院時間長,則轉歸較好；對缺血性腦血管意外的病人而言,未實施過手術、住院時間長、住院次數(shù)少的病人轉歸較好；對出血性腦血管意外的病人而言,未實施過手術、住院時間長的病人轉歸較好。 結論： 1.腦血管意外的治愈率為3%,病死率為0.8%,多數(shù)為好轉93.7%,未愈率為2.6%。 2.對全部腦血管意外病人而言,未實施過手術、缺血性腦血管意外、住院時間長,則轉歸較好；對缺血性腦血管意外的病人而言,未實施過手術、住院時間長、住院次數(shù)少的病人轉歸較好；對出血性腦血管意外的病人而言,未實施過手術、住院時間長的病人轉歸較好。
[Abstract]:Objective:To study the clinical outcome and influencing factors of cerebrovascular accident, to input the health resources and expenses of health administrative department to cerebrovascular accident, to formulate the treatment policy, to control the length of stay and medical expenses, and to guide rehabilitation.Provide basis for health education.Methods:Collect the first page data of all the inpatients with cerebrovascular accident from 2008 to 2013 in Xiangya No.3 Hospital of Central South University. The main contents include demographic information, disease characteristics, treatment situation and health economics index information, etc.To analyze the clinical outcome and influencing factors of cerebrovascular accident.The statistical analysis was carried out by SPSS13.0 software.The count data were compared by x2 test, nonparametric rank sum test and Logistic regression analysis.Results:1.The study included 8826 inpatients with cerebrovascular accident, including 5348 males and 3478 females.The minimum age was 1 year old, the maximum was 101 years old, the median was 63 years old. 70.3% of the cases were diagnosed as ischemic cerebrovascular accident 29. 7% of them were diagnosed as hemorrhagic cerebrovascular accident, and 23. 6% of them were diagnosed as cerebral hemorrhage and 6. 1% of them were diagnosed as subarachnoid hemorrhage.2.The cure rate of the subjects was 3 and the mortality was 0.8. Most of them were improved 93.7and the uncured rate was 2.6.The cure rate of ischemic cerebrovascular accident was 1.7%, the improvement rate was 96.8%, the uncured rate was 1.2 and the mortality rate was 0.3%, the cure rate of hemorrhagic cerebrovascular accident was 6.0%, the improvement rate was 86.3%, the uncured rate was 5.9%, the mortality rate was 1.9 points.3.The results of multivariate analysis showed that, for all patients with cerebrovascular accident, no operation had been performed, the patients with ischemic cerebrovascular accident had long hospital stay, and the patients with ischemic cerebrovascular accident had not had an operation.For the patients with hemorrhagic cerebrovascular accident, the patients who had not been operated on and the patients who had been hospitalized for a long time were better.Conclusion:1.The cure rate of cerebrovascular accident was 3 and the fatality rate was 0.8. Most of them were improved 93.7and the uncured rate was 2.6.2.For all patients with cerebrovascular accident, no operation has been performed, and the duration of hospitalization for ischemic cerebrovascular accident is longer. For patients with ischemic cerebrovascular accident, no operation has been performed and the hospital stay is long.For the patients with hemorrhagic cerebrovascular accident, the patients who had not been operated on and the patients who had been in hospital for a long time had a better outcome.
【學位授予單位】：中南大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R743.3

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