CT监视下颅脑穿刺术治疗高血压脑出血术后再出血的危险因素分析  

Analysis of risk factors of rebleeding in hypertension cerebral hemorrhage treated by cerebral paracentesis under CT monitoring

作　　者：刘立迅 丁韶山 

机构地区：[1]山东宁津县人民医院神经外科,宁津253400

出　　处：《中国实用神经疾病杂志》2016年第6期17-19,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨CT监视下颅脑穿刺术治疗高血压脑出血术后再出血的危险因素。方法选择2010-09—2014-10我院接诊的500例高血压脑出血患者进行研究。根据是否发生再出血将其分为观察组和对照组。观察组48例,对照组452例。采用Logistic回归分析统计CT监视下颅脑穿刺术治疗高血压脑出血术后再出血的独立危险因素。结果 Logistic回归方程的分析结果显示,手术时机、术后血压、首次抽吸量、肝脏疾病是CT监视下颅脑穿刺术治疗高血压脑出血术后再出血的独立危险因素(P<0.05)。结论 CT监视下颅脑穿刺术治疗高血压脑出血患者,重视手术时机、术后血压、首次抽吸量、肝脏疾病有利于再出血的识别与治疗。Objective To evaluate the risk factors of rebleeding in hypertension cerebral hemorrhage treated by cerebral paracentesis under CT monitoring. Methods Five hundred patients with hypertensive cerebral hemorrhage from September 2010 to October 2014 in our hospital were researched. According to whether rebleeding, they were divided into control group （n=452） and observation group （n=48）. The independent risk factors of postoperative rebleeding of hypertension cerebral hemorrhage treated by cerebral paracentesis under CT monitoring were analyzed using Logistic regression statistical. Results Logistic regression analysis results showed that operation time, postoperative blood pressure, suction amount for the first time, the liver disease were independent risk factors （P〈0.05）. Conclusion For hypertensive cerebral hemorrhage patients treated by cerebral paracentesis under CT monitoring, pay attention to the timing of surgery, postoperative blood pressure, first puff volume, liver disease are advantageous to the recognition and treatment of rebleeding.

关 键 词：CT 颅脑穿刺术 高血压脑出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]