影响高血压脑出血病人的预后因素  

Predicting the prognosis of the patients with hypertensive intracerebral hemorrhage by multi-factors analysis

作　　者：陶保平[1] 李卫东[1] 何庆璋[1] 丁源[1] 

机构地区：[1]安徽省芜湖市第一人民医院神经外科,芜湖241000

出　　处：《立体定向和功能性神经外科杂志》2011年第1期44-46,共3页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的探讨影响高血压脑出血（HICH）病人的预后因素。方法回顾性分析2008年12月-2010年6月以来42例HICH病例，从入院时年龄、临床表现、GCS评分、平均动脉压、CT检查、手术干预时间等多因素来评价患者的预后。结果经统计学处理，发现年龄、GCS、呼吸和瞳孔的改变（脑疝）、合并症、中线移位和出血的部位、出血量、平均动脉压、手术干预的时间与高血压脑出血的预后密切相关。结论综合分析多种量化因素，能前瞻性预测HICH病人的预后，指导选择合理的治疗手段。Objective To explore multi--factors that predict the possibility of prognosis of hypertensive intracerebral hemorrhage（HICH）. Methods The data of 42 HICH patients from 2008 were analysised retrospectively and evaluated prognosis according to clinical manifestations and other respects of the multi--factors. Results By statistical analysis,we found that the multi --factors including ages ,GCS, the changes of breathing and pupill（cerebral hernia）, complication, the position and amount of bleeding, midline shift and the level of mean arterial pressure and the intervention time of orperation were important prognostic factors. Conclusion We can prospectively predict the prognosis of HICH patients and select rational therapeutic methods by multi--factors analysised statistically.

关 键 词：高血压脑出血 多因素 预后 

分 类 号：R743.2[医药卫生—神经病学与精神病学]