高血压性脑出血微创术后继续出血的相关影响因素分析  

Analysis of related influencing factors of continuous bleeding in patients with hypertensive intracerebral hemorrhage

作　　者：尹宏 吕加希 陈庆春 

机构地区：[1]广西桂林市第二人民医院神经外科,桂林541001

出　　处：《中国实用神经疾病杂志》2013年第18期1-3,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨高血压性脑出血微创术后继续出血的相关影响因素。方法回顾性分析我院2008-03—2012-07收治的高血压性脑出血患者141例,均在我院行微创术,根据患者术后是否继续出血分为继续出血组和未出血组,比较2组术前及术后各项指标变化,分析继续出血的影响因素。结果年龄、白细胞数目、血糖值、C反应蛋白、乳酸脱氢酶、D-二聚体、平均动脉压、GCS评分、瞳孔光反射、继发脑室出血、并发肺部感染11项影响因素比较差异有统计学意义。通过Logistic回归分析,D-二聚体、平均动脉压、瞳孔光反射、并发肺部感染4项因素进入回归方程,提示这4项因素可判断高血压性脑出血患者微创术后继续出血情况。结论高血压性脑出血微创手术后继续出血与患者D-二聚体含量、平均动脉压、瞳孔光反射、并发肺部感染相关程度较高。Objective To investigate the related influencing factors of continuous bleeding in patients with hypertensive intracerebral hemorrhage.Methods The data of 141 patients with hypertensive intracerebral hemorrhage in our hospital from March 2008 to July 2012were retrospectively analyzed.These patients were divided into the continuous bleeding group and the no bleeding group.Various indexes and factors affecting continuous bleeding in two groups were compared and analyzed.Results The following 12 indexes had statistical difference in both groups:age,the number of white blood cells,blood glucose levels,C-reactive protein,lactate dehydrogenase,D-dimer,NSE content,mean arterial pressure,GCS score,pupillary light reflex,secondary intraventricular hemorrhage,pulmonary infection;The factors affecting the bleeding condition were D-dimer,mean arterial pressure,pupillary light reflex and pulmonary infection.Conclusion There are high degree of correlation between D-dimer,mean arterial pressure,pupillary light reflex,pulmonary infection and continuous bleeding in patients with hypertensive intracerebral hemorrhage.

关 键 词：高血压性脑出血 微创术 继续出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]