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目的探讨急性脑干梗死(acute brainstem infarction,ABI)患者预后影响因素。方法ABI患者按生存与否分成两组,按统一标准分别整理两组预后影响因素,进行非条件Logistic逐步回归分析。结果最终入选的变量是梗死部位(χ2=11·565,P=0·001)、入院时意识状态(χ2=7·780,P=0·005)、梗死大小(χ2=7·706,P=0·007)、肺部感染(χ2=6·110,P=0·010)、发病至入院时间(χ2=6·296,P=0·012)、年龄(χ2=5·791,P=0·015)、睡眠呼吸暂停综合征(χ2=5·503,P=0·019)。结论经统计分析,对ABI患者预后有影响的因素依次是梗死部位、入院时意识状态、梗死大小、肺部感染、发病至入院时间、年龄、睡眠呼吸暂停综合征。
Objective To investigate the prognostic factors of patients with acute brainstem infarction (ABI). Methods ABI patients were divided into two groups according to their survival or not, and the prognostic factors of the two groups were sorted according to uniform standards. The non-conditional logistic regression analysis was performed. Results The final variables were infarction size (χ2 = 11.565, P = 0.001), consciousness status at admission (χ2 = 7.871, P = 0.005), infarct size = 0 · 007), pulmonary infection (χ2 = 6 · 110, P = 0.010), onset to admission time (χ2 = 6 · 296, P = = 0 · 015), sleep apnea syndrome (χ2 = 5 · 503, P = 0.019). Conclusion According to statistical analysis, the prognostic factors in patients with ABI followed by infarction, admission consciousness, infarct size, pulmonary infection, onset to admission time, age, sleep apnea syndrome.