血管淀粉样变性相关脑出血复发的相关因素研究  

Investigation on the Clinical Risk Factor of Recurrent Intracerebral Hemorrhage(ICH) in Patients with Cerebral Amyloid Angiopathy

作　　者：吴楠[1] 张雪梅[1] 张文忠[1] 王玲[1] 焦清海[1] 

机构地区：[1]河北省邯郸市第一医院急诊ICU,邯郸056002

出　　处：《四川解剖学杂志》2012年第1期17-19,共3页Sichuan Journal of Anatomy

摘　　要：目的探讨血管淀粉样变性相关的脑出血复发的危险因素。方法收集我院2006.7～2010.1经病理证实的41例血管淀粉样变性脑出血患者的临床资料,分析影响血肿复发的危险因素。结果 CAA相关脑出血的复发率为36.6%,单因素和多因素分析显示高血压病史是血管淀粉样变性相关脑出血复发的唯一危险因素(χ2=9.22 P=0.002,OR 6.74;95%可信区间为,1.12-39.72)。结论高血压病史是CAA相关脑出血复发的重要危险因素,对CAA患者高血压的预防,早期的积极治疗有着重要的意义。Objective To investigate the clinical risk factor of recurrent intracerebral hemorrhage（ICH） in patients with cerebral amyloid angiopathy（CAA）.Methods Forty-one ICH patients with pathologically proven CAA in our hostipal from July 2006 to January 2010,were retrospectively reviewed and possible risk factors were analyzed by.Results Recurrent rate of ICH patients with CAA was 36.6%.The univariate and multivariate analyses revealed that hypertension was the only significant risk factor of recurrent ICH in CAA patients（χ2=9.22 P=0.002;OR：6.74;95% CI： 1.12-39.72）.Conclusion Hypertension is the independent determinant of recurrent ICH in CAA patients,and positive control of the blood pressure,earlierly active treatment have important clinical significance.

关 键 词：脑出血 复发 高血压 危险因素 淀粉样变性 

分 类 号：R743.34[医药卫生—神经病学与精神病学]