高血压性脑出血早期血肿扩大的相关危险因素分析  

Analysis of Risk Factors Associated with Bleeding Early Hypertensive Intracerebral Hematoma Enlargement

作　　者：杜合宾[1] 

机构地区：[1]南京鼓楼医院集团宿迁市人民医院,江苏宿迁223800

出　　处：《中外医学研究》2014年第31期1-3,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨高血压性脑出血(HICH)早期血肿扩大的危险因素。方法:回顾性分析208例HICH患者的临床资料,分为血肿扩大组和血肿稳定组。在单因素分析基础上,采用Logistic多因素逐步分析方法确立早期血肿扩大的危险因素。结果:血肿扩大组53例,血肿稳定组155例。Logistic回归分析显示,嗜酒、高血压病程、肝功能异常、首次脉压、血肿部位、血肿形态及6 h内使用甘露醇是早期血肿扩大的独立危险因素。结论:多种因素、多种作用机制共同影响了早期血肿扩大的发生。Objective：To investigate the hypertensive intracerebral hemorrhage（HICH） the risk factors of hematoma enlargement.Method：The clinical data of 208 patients with HICH were analyzed retrospectively,they were divided into hematoma expansion group and hematoma stability.On the basis of single factor analysis,adopting Logistic multifactor step by step analysis method to establish the risk factors of hematoma enlargement. Result：Hematoma enlargement group of 53 cases,stable group of 155 cases of hematoma.Logistic regression analysis showed that heavy drinking, duration of hypertension and abnormal liver function,for the first time,pressing of arteries and veins,hematoma,hematoma and 6 hours using mannitol were independent risk factors of hematoma enlargement.Conclusion：The common effect of mechanism is a variety of factors,the occurrence of hematoma enlargement.

关 键 词：高血压性脑出血 血肿扩大 危险因素 

分 类 号：R743.34[医药卫生—神经病学与精神病学]