CAJ | 학술논문

目的探讨病毒性脑炎患者临床表现症状和影响预后的相关因素。方法对160例病毒性脑炎患者的临床资料进行回顾性分析和总结，将 GOS1-4级划为预后不良组（试验组）：47例，GOS5级划为预后良好组（对照组）：113人；对预后和多个因素进行研究和分析。结果经研究，与病毒性脑炎预后有一定关系的因素有：癫痫、意识状态异常、脑电图中重度异常、颅脑 MRI 异常、肌力异常、精神行为异常、头痛。此外经多因素分析发现，与病毒性脑炎预后有明确性关系的因素主要为意识状态异常和颅脑 MRI 异常。且 MRI 多个病灶与单个病灶的预后进行比较，差异显著，具有统计学意义( P <0.05)。结论病毒性脑炎预后中多种因素相互作用，而颅脑 MRI 异常和意识状态异常是主要的危险因素，通过 MRI 显示，发现颅内病灶越多，患者的预后就越差。
목적탐토병독성뇌염환자림상표현증상화영향예후적상관인소。방법대160례병독성뇌염환자적림상자료진행회고성분석화총결，장 GOS1-4급화위예후불량조（시험조）：47례，GOS5급화위예후량호조（대조조）：113인；대예후화다개인소진행연구화분석。결과경연구，여병독성뇌염예후유일정관계적인소유：전간、의식상태이상、뇌전도중중도이상、로뇌 MRI 이상、기력이상、정신행위이상、두통。차외경다인소분석발현，여병독성뇌염예후유명학성관계적인소주요위의식상태이상화로뇌 MRI 이상。차 MRI 다개병조여단개병조적예후진행비교，차이현저，구유통계학의의( P <0.05)。결론병독성뇌염예후중다충인소상호작용，이로뇌 MRI 이상화의식상태이상시주요적위험인소，통과 MRI 현시，발현로내병조월다，환자적예후취월차。
Objective To investigate the clinical manifestations of patients with viral encephalitis symptoms and prognostic factors. Methods 160cases of viral encephalitis in patients with clinical data were retrospectively analyzed and summarized, will GOS1-4 级 classified as poor prognosis group (experimental group): 47cases, GOS5 classified as good prognosis group level (control group): 113people; various factors on prognosis and conduct research and analysis. The study Results and prognosis of viral encephalitis have a certain relationship factors: epilepsy, abnormal state of consciousness, severe EEG abnormalities, brain MRI abnormalities, muscle abnormalities, mental and behavioral abnormalities, headaches. Multivariate analysis also found that there is a clear outcome of viral encephalitis main factors of sexual relations abnormal state of consciousness and brain MRI abnormalities. And multiple lesions with a single MRI lesions prognosis, the difference is remarkable, with statistical significance (P <0.05). Conclusion The prognosis of viral encephalitis interaction of many factors, and brain MRI abnormalities and abnormal state of consciousness is a major risk factor through MRI showed intracranial lesions found in the more worse the prognosis.