高血压脑出血患者术后精神障碍的相关因素分析  

Relative factors analysis of mental disorder in patients with hypertensive cerebral hemorrhage after operation

作　　者：唐知己[1] 杨瑞金[1] 钟华 张震宇[1] 刘祥璐[1] 李卫[1] 曾海兰[1] 

机构地区：[1]江西省赣州市人民医院神经外科,341000 [2]赣州市第三人民医院精神科

出　　处：《临床精神医学杂志》2013年第3期184-186,共3页Journal of Clinical Psychiatry

摘　　要：目的:探讨高血压脑出血患者术后精神障碍发生情况及其影响因素。方法:对68例经手术治疗的高血压脑出血患者在术后1个月时进行个人、家庭、病情及治疗情况的调查,采用逐步Logistic分析方法,对可能导致术后精神障碍的相关因素进行分析。结果:脑出血术后患者精神障碍的发生率为30.9%(21/68例)。单因素分析显示精神障碍组(n=21)及非精神障碍组(n=47)在性别、社交面、经济状况、家庭关系、基础疾病、出血部位、手术方式、改良Barthel指数(BI)及术后重症监护病房住院时间上差异有统计学意义(χ2=4.168～9.104;P<0.05或P<0.01)。多因素Logistic回归分析显示:患者的性别、经济状况、家庭关系、手术方式及改良BI是影响脑出血术后发生精神障碍的危险因素(P<0.05)。结论:高血压脑出血患者术后精神障碍是多个因素协同作用所致,高危人群应给予早期干预。Objective：To investigate the occurrence of mental disorders and their associated factors of hypertensive intracerebral hemorrhage after operation. Method：The individuals and families,the condition of treatment situation of 68 cases were investigated one month after the surgical treatment of hypertensive intracerebral hemorrhage. Relevant factors that may lead to postoperative mental disorders were statistically analyzed using stepwise Logistic analysis methods. Results：Cerebral hemorrhage after operation patients with mental disorders was 30. 9% （ 21 /68 cases） ; univariate analysis showed that patients with mental disorders（ n = 21） and non-psychiatric disorder patients （ n = 47） showed significant differences in gender,social surface,economic status,family relationships,the underlying disease,the site of bleeding,surgery way,modified Barthel index （ BI） and postoperative intensive care unit admission time （ χ2 = 4. 168 ～ 9. 104; P 0. 05 or P 0. 01） . Multivariate Logistic regression analysis showed that：the patient＇s gender,economic status,family relationships,surgical approach and modified BI were the risk factors for mental disorders cerebral hemorrhage after operation （ P 0. 05） . Conclusion：Mental disorders after operation of hypertensive intracerebral hemorrhage occur with a combination of factors therefore high-risk groups should be given to early intervention.

关 键 词：脑出血 精神障碍 相关因素 

分 类 号：R749.1[医药卫生—神经病学与精神病学]