中等量高血压性脑出血术后影响预后的因素分析  

Analysis of Prognostic Factors about Moderate Hypertensive Intracerebral Hemorrhage after Surgery

作　　者：钱骏[1] 

机构地区：[1]江油市人民医院ICU,四川江油621700

出　　处：《中国医药指南》2011年第30期17-18,共2页Guide of China Medicine

摘　　要：目的分析影响中等量高血压性脑出血术后影响预后的影响因素,为临床可供参考的依据,提高临床疗效。方法对58例江油市人民医院因高血压性脑出血手术治疗后的患者临床资料进行回顾性分析,比较3d内GCS评分的增加幅度和1周内ICP变化,比较这两种状况下患者肺部感染、低氧血症、中枢高热、电解质紊乱、再出血的发生情况等并发症的发生情况。结果术后GCS评分增加幅度大者,预后较好,术后3d内GCS评分增加≤5分者和增加≥6分者两组相比较有显著差异(P<0.01)。术后1周内ICP居高不下者影响预后,易发生各种并发症,均比1周内ICP下降良好者发生率高(P<0.001)。结论术后治疗中关注GCS评分的增加程度以及ICP的变化是降低并发症的发生以及病死率和致残率,提高疗效的关键,积极有效的促进脑血流恢复改善脑缺血,对预后均有积极意义。Objective Analyze the impact of moderate hypertensive cerebral hemorrhage prognostic factors for clinical reference basis,to improve clinical efficacy.Methods 58 cases of our department for surgical treatment of hypertensive cerebral hemorrhage after clinical data were retrospectively analyzed and compared the GCS score of 3 days and 1 week of increase ICP changes,compare the two situations patients with pulmonary infection,low oxygen hyperlipidemia,central heat,electrolyte imbalance,such as the occurrence of bleeding complications were observed.Results Rate of increase in GCS score after the larger,better prognosis,increased after 3 days of GCS score ≤5 points and increased by ≥6 points,compared two groups were significantly different（P0.01）.1 weeks after the high ICP were prognostic,prone to complications,than a week as well,ICP decreased incidence（P0.001）.Conclusions The treatment of attention after the increase of GCS score and ICP changes is to reduce the incidence of complications and mortality and morbidity,improve the efficacy of key,active and effective promotion of improved cerebral blood flow recovery of brain ischemia,the prognosis has positive.

关 键 词：高血压脑出血 术后 影响因素 

分 类 号：R743.34[医药卫生—神经病学与精神病学]