高血压脑出血血肿周围水肿的危险因素分析  

Analysis of risk factors for perihematoma edema following hypertensive intracerebral hemorrhage

作　　者：袁璞[1] 聂文臣 

机构地区：[1]南京大学医学院附属鼓楼医院集团宿迁市人民医院神经外科,223800

出　　处：《临床神经外科杂志》2016年第4期307-309,共3页Journal of Clinical Neurosurgery

摘　　要：目的探讨高血压脑出血血肿周围水肿的独立危险因素。方法回顾性分析符合纳入条件的36例高血压脑出血患者的临床资料。其中发生血肿周围水肿扩大者17例,未发生血肿周围水肿扩大者19例。对患者的一般资料、术前搬运、发病到手术间隔时间、血压、高血压病程、出血量、出血位置、血肿侧别、血肿形状等可能影响血肿周围水肿的因素进行单因素分析。对单因素分析有统计学意义的结果(血压,出血位置,术前搬运)建立Logistic回归模型,分析血肿周围水肿的独立危险因素。结果 Logistic回归分析结果显示,高血压病程(P=0.007)和血肿形状(P=0.008)与血肿周围水肿密切相关;而血压、出血位置以及术前搬运等无统计学意义。结论较长的高血压病程以及不规则的血肿形状可能是高血压脑出血血肿周围水肿的危险因素。Objective To explore the independent risk factors in perihematoma edema following hypertensive intracerebral hemorrhage （ HICH ） . Methods The clinical data of 36 in-patients with HICH were analyzed retrospectively.Of 36 patients,17 had perihematoma edema expanding,another 19 hadn＆#39;t.The general data of patients,preoperative carrying, time interval between onset to surgery,blood pressure,hypertension duration,amount of bleeding,bleeding site,the hematoma side,the hematoma shape were evaluated bysingle factor analysis .Logistic regression analysis was performed by the statistically significant results of single factor analysis （ blood pressure , bleeding site , preoperative handling ） to access the independent risk factors of perihematoma edema .Results As indicated in logistic regression analysis, disease duration of hypertension （P=0.007） and shape of hematoma （P=0.008） were significantly associated with the perihematoma edema following hypertensive intracerebral hemorrhage . However , a statistical significance was absent in systolic blood pressure , diastolic blood pressure , sites of hemorrhage , preoperative transportation and etc .Conclusions It suggests that longer hypertension duration and shape of hemorrhage might be the independent risk factors for perihematoma edema following hypertensive intracerebral hemorrhage .

关 键 词：高血压脑出血 血肿周围水肿 危险因素 LOGISTIC回归分析 

分 类 号：R651.1[医药卫生—外科学]