高血压脑出血微创治疗的近期疗效影响因素分析  

Analysis of influence factors of short-term curative effect of hypertensive intracerebral hemorrhage with minimally invasive treatment

作　　者：迁荣军[1] 徐卫明[1] 赵洪洋[1] 张方成[1] 林敏华[1] 符荣[1] 杨林[1] 周迎春[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院神经外科,武汉430022

出　　处：《临床急诊杂志》2011年第2期97-100,共4页Journal of Clinical Emergency

摘　　要：目的:探讨高血压脑出血微创治疗的近期疗效影响因素。方法:对382例高血压脑出血患者经微创血肿清除术治疗的近期疗效进行回顾分析。预后据神经功能缺损评分分为好转(基本痊愈和显著进步)和未好转(进步、病情无变化、恶化和死亡),采用单因素分析方法统计,使用u检验和卡方检验分析相关因素对预后的影响。结果:术前血压水平和性别不是危险因素,而患者年龄、入院GCS评分、出血量、出血部位、糖尿病史、破入脑室、意识障碍、脑室受压、术后有无再出血和并发症在预后好转组和未好转组均差异有统计学意义(均P<0.05)。结论:影响微创血肿清除术近期疗效的因素很多,术前应积极干预。年龄、入院GCS评分、出血量、出血部位、糖尿病史、破入脑室、意识障碍、脑室受压、术后有无再出血和并发症是影响高血压脑出血微创血肿清除术近期疗效的相关因素。Objective：To investigate the influence factors of short-term curative effect of hypertensive intracerebral hemorrhage treated by minimally invasive hematoma evacuation. Method：The short-term curative effect and prognosis of 382 patients of hypertensive intracerebral hemorrhage treated minimally invasive hematoma evacuation was analyzed retrospectively. Prognosis was divided as amelioration（almost full recover,and significant improvement） and non-amelioration（improvement,no change,deterioration,and death） according to the grade of never function defect. The single factor analysis was used. The influence of related factors to prognosis was analyzed by u-test and chi-square test. Result：In recent prognostic factors,the preoperative blood pressure levels and gender were not risk factors. Age,GCS score,position of bleeding,volume of bleeding,diabetes history,consciousness,bleeding into ventricles,ventricles pressed,postoperative bleeding and other complications were significant difference in amelioration group and non-amelioration group（P0.05） . Conclusion：There were many influence factors of short-term curative effect in operation of minimally invasive hematoma evacuation,which should be intervened actively before operation. Age,GCS score,position of bleeding,volume of bleeding,diabetes history,consciousness,bleeding into ventricles,ventricles pressed,postoperative bleeding and other complications were related influence factors of short-term curative effect of minimally invasive hematoma evacuation.

关 键 词：高血压脑出血 微创血肿清除术 预后 

分 类 号：R554[医药卫生—血液循环系统疾病]