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題 名 | Prognosticating Factors in Patients with Acute Stroke Requiring Mechanical Ventilation=需要機械化呼吸治療的急性腦中風病人:影響預後之因素 |
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作 者 | 李光永; 劉祥仁; 簡浴沂; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 5:2 2003[民92.] |
頁 次 | 頁123-131 |
分類號 | 415.922 |
關鍵詞 | 腦中風; 呼吸衰竭; 機械化呼吸治療; 預後; Stroke; Respiratory failure; Mechanical ventilation; Prognosis; |
語 文 | 英文(English) |
中文摘要 | 背景:對接受機械化呼吸治療之急性腦中風病人,評估其影響預後之因素。 方法:回顧115位自1999至2001年因急性腦中風接受機械機械化呼吸治療,於基隆長庚醫院加護病房住院病人。統計分析項目包括共有腦中風類型,適應症與機械化呼吸治療時機,昏迷指數及其與30天死亡率的關係。 結果:共有90位自發性腦出血及25位缺血性腦中風(含15位中大腦動脈大片梗塞及10位基底動脈阻塞)之病人接受機械化呼吸治療。腦出血組及缺血性腦中風組於住院期間死亡率分別為85.56%與68%。在單因子統計分析中,年齡大於65歲(p=0.023) 及昏迷指數(p=0.008)可做為腦出血組病人30天死亡之預測因素。昏迷指數可做為所有病人死亡之預測因素(p<0.001),卻不能作為缺血性腦中風組的預測因素。因神經學症狀惡化而插管可作為中大腦動脈大片梗塞病人(p=0.007)以及所有病人(p=0.014)之死亡預測因素。在多因子邏輯迴歸統中,可作為30天死亡預測因素者包括:年齡大於65歲(p=0.038)及昏迷指數(p=0.017)於腦出血組病人:因神經學症狀惡化而插管(p=0.007)於中大腦動脈大片梗塞病人;昏迷指數預測死亡的分數,在所有病人與腦出血組分別是小於6分(p=0.023)與8分(p=0.008)。 結論:接受機械化呼吸治療之急性腦中風病人預後不佳。年齡大於65歲及昏迷指數小於8分對腦出血組病人的死亡率能較精確地預估。因系統性併發症而插管可作為中大腦動脈大片梗塞病人存活之預測因素。 |
英文摘要 | Background and Purpose: To evaluate the factors affecting outcomes in patients who needed mechanical ventilation (MV) after acute stroke. Methods: We reviewed medical records of consecutive 115 patients with acute stroke who required MV. All patients were admitted to the Intensive Care Unit at Keelung Chang Gung Memorial Hospital between 1999 and 2001. we analyzed stroke subtypes, indications, intubation timing for MV, Glasgow Coma Scale (GCS), and their correlations with 30-day mortality by univariate and multiple logistic regression analysis. Results: There were 90 patients with spontaneous intracerebral hemorrhage (ICH) and 25 with ischemic stroke, 15 with middle cerebral artery (MCA) territory large infarction and 10 with basilar artery occlusion who underwent MV. The mortality rate during hospitalization in those patients with ICH was 85.56%, and that in those with ischemic stroke was 68%. In the univariate analysis, age > 65 yrs (p=0.023) and GCS (p=0.008) were found to have significantly influence on the 30-day mortality in the ICH group. GCS influenced the mortality in all enrolled patients (p<0.001) but not in ischemic stroke patients. Neurologic deterioration was a variable that influenced the mortality in MCA group patients (p=0.007) and all enrolled patients (p=0.014). in multiple logistic regression, we found independent predictors for 30-day-morality were age > 65 yrs (p=0.038) and GCS (p=0.017) in ICH patients, neurologic deterioration (p=0.007) in MCA patients and GCS (p=0.003) and neurologic deterioration (p=0.040) in all enrolled patients. The GCS scores for prediction of mortality were < 6 (p=0.023) in all enrolled patients and < 8 (p=0.008) in ICH patients. Conclusion: The prognosis in acute stroke patients requiring MV is generally poor. Age > 65 yrs and GCS < 8 may be more accurate predictors of mortality for ICH patients. MV due to systemic complication may be a predictor of survival in patients with MCA territory large infarction. |
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