中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2011年
5期
497-500
,共4页
黄显军%刘文华%朱武生%倪冠中%孙文%陈兆耀%田利丽%陈茂刚%徐格林%刘新峰
黃顯軍%劉文華%硃武生%倪冠中%孫文%陳兆耀%田利麗%陳茂剛%徐格林%劉新峰
황현군%류문화%주무생%예관중%손문%진조요%전리려%진무강%서격림%류신봉
烟雾病%诊断%因素分析,统计学
煙霧病%診斷%因素分析,統計學
연무병%진단%인소분석,통계학
Moyamoya disease%Diagnosis%Factorial analysis,statistics
目的 分析成人烟雾病(MMD)确诊时间的影响因素,为MMD的早期诊断提供依据.方法 回顾性分析南京军区南京总医院神经内科自2008年8月至2009年12月首次确诊的65例成人MMD患者的临床资料,Logistic回归分析影响确诊时间的相关因素.结果 65例患者中早期确诊患者41例(63.1%),晚期确诊24例(36.9%).早期确诊组患者首诊于三级医院、文化程度和经济水平较高、首发症状为出血性卒中患者比例均高于晚期确诊组,差异有统计学意义(P<0.05);Logistic回归分析显示患者的确诊时间与首发症状、首诊医院等级有关,首发症状为出血性卒中、首诊医院级别为三级的患者其确诊时间较短.结论 MMD患者首发症状为出血性卒中、首诊医院级别为三级的患者其确诊时间较短.
目的 分析成人煙霧病(MMD)確診時間的影響因素,為MMD的早期診斷提供依據.方法 迴顧性分析南京軍區南京總醫院神經內科自2008年8月至2009年12月首次確診的65例成人MMD患者的臨床資料,Logistic迴歸分析影響確診時間的相關因素.結果 65例患者中早期確診患者41例(63.1%),晚期確診24例(36.9%).早期確診組患者首診于三級醫院、文化程度和經濟水平較高、首髮癥狀為齣血性卒中患者比例均高于晚期確診組,差異有統計學意義(P<0.05);Logistic迴歸分析顯示患者的確診時間與首髮癥狀、首診醫院等級有關,首髮癥狀為齣血性卒中、首診醫院級彆為三級的患者其確診時間較短.結論 MMD患者首髮癥狀為齣血性卒中、首診醫院級彆為三級的患者其確診時間較短.
목적 분석성인연무병(MMD)학진시간적영향인소,위MMD적조기진단제공의거.방법 회고성분석남경군구남경총의원신경내과자2008년8월지2009년12월수차학진적65례성인MMD환자적림상자료,Logistic회귀분석영향학진시간적상관인소.결과 65례환자중조기학진환자41례(63.1%),만기학진24례(36.9%).조기학진조환자수진우삼급의원、문화정도화경제수평교고、수발증상위출혈성졸중환자비례균고우만기학진조,차이유통계학의의(P<0.05);Logistic회귀분석현시환자적학진시간여수발증상、수진의원등급유관,수발증상위출혈성졸중、수진의원급별위삼급적환자기학진시간교단.결론 MMD환자수발증상위출혈성졸중、수진의원급별위삼급적환자기학진시간교단.
Objective To investigate the influencing factors of diagnostic time in adult moyamoya disease (MMD) and provide evidence for its early diagnosis. Methods The clinical data of 65 consecutive patients, admitted to our hopspital from August 2008 to December 2009, were retrospectively analyzed. Logistic regression nalysis was employed to confirm the relevant factors of diagnostic time. Results The 65 patients with early diagnosis and late diagnosis were 41 (63.1%) and 24 (36.9%), respectively. The percentage of patients firstly visiting a hospital with the third grade, patients with high education and high income, and patients having initial hemorrhage of the early diagnosis group was significantly higher than that in those of late diagnosis group (P<0.05). Through a logistic regression analysis, the grade of initial hospital, the level of education, initial symptom and economic level were significantly associated with the early diagnosis, and the patients having initial hemorrhage and firstly visiting a hospital with higher grade were diagnosed earlier (OR=3.401, 95%CI 1.301-8.892, P=0.013;OR=26.351, 95%CI 4.953-140.193, P=0.000). Conclusion Patients with MMD having initial hemorrhage and firstly visiting a hospital with the third grade can be early diagnosed.
