首都医科大学附属复兴医院康复中心, 北京 邮编
纸质出版:2025
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刘素娟, 王泳, 李冉, 等. 恢复期中重度脑损伤后阵发性交感神经兴奋综合征患者的预后结局分析[J]. 中华物理医学与康复杂志, 2025,(7):608-613.
刘素娟, 王泳, 李冉, et al. 恢复期中重度脑损伤后阵发性交感神经兴奋综合征患者的预后结局分析[J]. 2025, (7): 608-613.
目的评估恢复期中重度脑损伤后阵发性交感神经兴奋综合征(PSH)患者的临床结局。方法回顾性分析2018年3月至2023年3月期间在首都医科大学附属复兴医院康复中心住院治疗的中重度脑损伤患者的临床资料。根据是否出现PSH发作将其分为PSH组和非PSH组
再将PSH组与非PSH组患者以1∶1的比例进行倾向性评分匹配。分析匹配前及匹配后队列患者的基线特征及匹配后队列患者的临床结局。结果共有580例中重度脑损伤患者入选
其中75例患者出现PSH发作并被纳入PSH组
余患者纳入非PSH组。匹配前2组患者年龄、房颤、高血压、胸部外伤、格拉斯哥昏迷量表(GCS)评分、气管切开、脑积水、入院时心率、呼吸频率、肌张力、关节活动受限情况组间差异均具有统计学意义(P<0.05)。按1∶1比例进行倾向性评分匹配后
PSH组与非PSH组各有患者67例
匹配后2组患者入院时心率、呼吸频率、肌张力、关节活动受限情况组间差异均具有统计学意义(P<0.05);与非PSH组比较
PSH组患者出院时GCS评分、格拉斯哥结局量表(GOS)评分均明显降低(P<0.05)
残疾等级量表(DRS)评分则显著增加(P<0.05)。与同时间点非PSH组比较
出院时PSH组患者GOS评分降低了0.47分(CI:0.41~0.56
P<0.001);出院3个月后PSH组患者GOS评分降低了0.55分(CI:0.48~0.61
P<0.001);出院6个月后PSH组患者GOS评分降低了0.75分(CI:0.66~0.82
P<0.001);出院12个月后PSH组患者GOS评分降低了0.87分(CI:0.77~0.97
P<0.001)。结论 PSH能影响中重度脑损伤患者的意识恢复及日常生活活动能力
且PSH患者的预后相对较差。
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