78例高血压性脑出血并发脑-心综合征预后影响因素分析  

Prognosis Influencing Factors Analysis of 78 Cases with Hypertensive Cerebral Hemorrhage Combined with Cerebro- cardiac Syndrom

作　　者：伍剑波 

机构地区：[1]广州市荔湾区人民医院,广东广州510370

出　　处：《黑龙江医学》2014年第2期119-120,共2页Heilongjiang Medical Journal

摘　　要：目的 寻找高血压性脑出血导致脑-心综合征发生的危险因素以及对预后的影响.方法 选取2008-05~2013-05间来我院就诊的脑出血并发脑-心综合征患者,纳入脑出血并发脑-心病综合征组计78例,以同期就诊的脑出血未发脑-心综合征患者作为对照组,共收集病例81例.对两组患者临床指标进行统计学分析,并进行脑出血并发脑心-综合征的预后效果评价.结果 与对照组相比,高血压性脑出血并发脑-心综合征组的患者年龄明显的高于对照组（P＜0.05）,而GCS评分对照组明显的较低（P＜0.05）,意识障碍的患者明显也多于对照组（P＜0.05）,脑出血破入脑室（P＜0.01）,血压及血糖的水平是脑-心综合征发生的危险因素.结论 患者的年龄、血压水平、高血糖、脑出血量是影响脑-心综合征的发生以及预后的重要因素.Objective To investigate the risk factors of hypertensive cerebral hemorrhage leading to cerebro - cardiac syndrome and the effects on the prognosis. Methods 78 patients of cerebral hemorrhage with cerebro - cardiac syndrome were selected in the hospital from May 2008 to May 2013 as the group of cerebral hemorrhage with cerebro - cardiac syndrome. The patients of cerebral hemorrhage without cerebro -cardiac syndrome were as the control group. The statistic analysis was performed between the two groups. Meanwhile, effective- ness evaluation of prognosis of patients was carried out. Results Compared to the control group, the age of the group of cerebral hemorrhage with cerebro - cardiac syndrome were higher （ P 〈 0.05 ） , the scores of GCS were lower than the control group, and the rates of patients of disturbance of consciousness and the hematoma broken into the ventricle were more than the control group. The high level of blood press and blood glucose were risk factors for cerebro - cardiac syndrome. Conclusion The age, the level of blood press, blood glucose and the a- mount of bleeding in the brain were the important factors which affect the occurrence and prognosis of brain - heart syndrome.

关 键 词：高血压 脑出血 脑-心综合征 预后分析 

分 类 号：R743.34[医药卫生—神经病学与精神病学]