颅内动脉瘤性蛛网膜下腔出血术后症状性脑血管痉挛的影响因素分析  

Analysis of influencing factors of symptomatic cerebral vasospasm postoperation of intracranial aneurysmal subarachnoid hemorrhage

作　　者：郭文才[1] 吴勇[1] 李锐[1] 

机构地区：[1]四川省巴中市中心医院神经外科,四川巴中636600

出　　处：《中国现代医生》2015年第5期7-9,共3页China Modern Doctor

摘　　要：目的探讨影响颅内动脉瘤术后症状性脑血管痉挛的相关因素。方法回顾性分析在我院救治的蛛网膜下腔出血患者514例的临床资料,分析术后症状性脑血管痉挛的影响因素。结果多因素分析结果显示年龄≥55岁、既往有颅内动脉瘤破裂史、采用夹闭手术治疗、Hunt-HessⅣ级、大脑前动脉瘤、Fisher分级3级是独立预测因子(P<0.01)。结论高龄、既往有颅内动脉瘤破裂史、Hunt-Hess分级、Fisher分级、动脉瘤位置、手术方式是颅内动脉瘤术后发生症状性脑血管痉挛的影响因素。Objective To analyze risk factors symptomatic cerebral vasospasm postoperation of intracranial aneurysmal subarachnoid hemorrhage. Methods Clinical data of 514 cases with intracranial aneurysmal subarachnoid hemorrhage were respectively analyzed. Risk factors of symptomatic cerebral vasospasm postoperation analyzed. Results Multiple factors analysis results showed age of ≥ 55 years old, history of intracranial aneurysms, clipping treatment, Hunt-HessⅣ degree, anterior cerebral artery aneurysm, Fisher 3 were independent predictors. Conclusion Advanced age, history of intracranial aneurysms, clipping treatment, Hunt-Hess degree, Fisher score, aneurysm location, surgical method are influencing factors of symptomatic cerebral vasospasm postoperation of intracranial aneurysmal subarachnoid hemorrhage.

关 键 词：颅内动脉瘤性蛛网膜下腔出血 症状性脑血管痉挛 影响因素 

分 类 号：R651.12[医药卫生—外科学]