Objective: to describe the Xinjiang region of tuberculous meningitis(age > 18 years of age)in patients with the clinical features,analysis of factors influencing the prognosis.Methods: a retrospective of cases included in the data collection,describe the clinical characteristics,using the single factor and multiple factors logistic regression analysis of factors influencing the prognosis.Results: 200 cases of TBM patients,120 cases of male,female 80 cases,Age 18 ~ 75(37.35±14.24)years old,the course of the disease 3-270(36.86±43.86)days.179 cases of survival,21 cases of death,mortality is10.5%.Single factor analysis showed that hydrocephalus,encephaledema,clinical staging,erythrocyte sedimentation rate,CSF-protein in the difference between survival group and death group had statistical significance(P < 0.05),the multi-factor logistic regression analysis,encephaledema and erythrocyte sedimentation rate were independent factors affecting the prognosis of TBM(P < 0.05).Conclusion: encephaledema,erythrocyte sedimentation rate are independent risk factors of poor prognosis in patients with TBM,early identify predictors,formulate corresponding clinical countermeasures,can improve the prognosis of patients with tuberculous meningitis. |