1.Analysis of relevant factors to the outcomes of spontaneous intracerebral hemorrhage in young adults
Lanlan CHEN ; Qi WAN ; Beilei CHEN ; Xianxian ZHANG ; Qing YE ; Yangwei ZHANG ; Xiaobo LI
Chinese Journal of Emergency Medicine 2013;22(9):1016-1020
Objective To study factors used to predict 30-day mortality and favorable outcomes to intracerebral hemorrhage (ICH) in young adult subjects and to estimate the reliability of these predictors.Methods Data of 175 acute ICH patients selected from 201 patients admitted to our hospital from 2008 to 2011 were reviewed retrospectively.Patients were assessed with Glasgow Coma Scale (GCS) and National Institutes of Health Stroke Scale (NIHSS) and routine laboratory examinations after admission.Independent predictors of 30-day mortality or good outcome (modified Rankin score,0-2) were identified by stepwise logistic regression.Results There were 90 male and 85 female,and 142 survivals and 33 deaths.The modified Rankin score (mRS) of survival group was <6 and mRS =6 in death group,and mRS <3 in good outcome group and mRS > or =3 in poor outcome group.Independent factors for 30-day mortality were hypertension (P =0.023) or hyperglycemia (P =0.007),infra-tentorial ICH (P =0.000),large ICH volume (P =0.008),low Glasgow Coma Scale (GCS) scores (P =0.000),high white blood cell count (P =0.000),higher blood glucose level (P =0.039) and prothrombin time (PT) (P =0.001) after admission.Independent factors for 30-day good outcome were younger age (P =0.001),normal blood pressure (P=0.010) or absence of hyperglycemia (P=0.028),lower NIHSS scores (P=0.000),small ICH volume (P =0.000),low white blood cell (WBC) count (P =0.000),lower blood glucose level (P =0.012) or lower systolic blood pressure (SBP) level (P =0.000) at admission.The NIHSS score and GCS score were excellent predictors,while the SBP level,WBC count and ICH volume were fine predictors.Conclusions Overall prognostic factors should be integrated to get high reliabilities for predicting the outcomes of ICH in young people.
2.Clinical observation on the method for nourishing blood and moisturizing eye on xerophthalmia.
Wei YANG ; Yan-chao ZHANG ; Dong LIU ; Hong SUN ; Lu-quan CHEN
Chinese Acupuncture & Moxibustion 2006;26(8):571-573
OBJECTIVETo observe therapeutic effect of the method for nourishing blood and moisturizing eye on xerophthalmia.
METHODSFifty-one cases of xerophthalmia were randomly divided into a treatment group and a control group. The treatment group were treated by acupuncture, moxibustion with Chinese medicine, and auricular point pressing, and the control group were treated with dripping of artificial tears. Local symptoms of eyes, tear secretion amount (Schirmer method) and BUT were observed before and after treatment.
RESULTSThe total effective rate of 88.5% in the treatment group was better than 52.0% in the control group (P<0.05).
CONCLUSIONThe method for nourishing blood and moisturizing eye is a better therapy for xerophthalmia.
Acupuncture ; Acupuncture Therapy ; Eye ; Humans ; Moxibustion ; Xerophthalmia ; therapy