自发性老龄小脑出血的病因、临床症状及治疗方法与预后的相关性研究  

Correlations of etiology, clinical symptoms, treatment methods and prognosis of spontaneously aging cerebellar hemorrhage

作　　者：曹云刚[1] 杨婷[1] 

机构地区：[1]温州医科大学附属第二医院,浙江省温州325000

出　　处：《现代实用医学》2016年第12期1554-1555,1621,共3页Modern Practical Medicine

基　　金：国家自然科学基金(81571114)

摘　　要：目的探讨自发性老龄小脑出血的病因、临床症状及治疗方法与预后关系。方法回顾性分析148例自发性老龄小脑出血患者的临床资料。结果10例接受数字减影血管检查患者中4例被确诊为脑血管畸形,阳性率40.0%。治愈60例,好转62例,死亡26例总有效率82.4%。不同治疗方法疗效差异无统计学意义（P〉0.05）。美国国立卫生研究院卒中量表评分11-20分、21-30分患者的病死率高于0-10分患者（P〈0.05）,出血量10-15 ml、≥15 ml患者的病死率高于0-9 ml（P〈0.05）,破入脑室患者的病死率显著高于未破入脑室患者（P〈0.05）,不同出血部位患者的病死率差异无统计学意义（P〉0.05）。结论自发性老龄小脑出血的病因、临床症状与预后均相关。Objective To study the correlations of etiology,clinical symptoms,treatment methods and prognosis of spontaneously aging cerebellar hemorrhage.Methods The clinical data of 148 cases of patients with spontaneous aging cerebellar hemorrhage who were treated in our hospital from May 2012 to May 2016 were statistically analyzed.Results Ten patients were given digital subtraction angiography examination with four cases diagnosed with cerebral vascular malformations,and the positive rate was 40.0%.Among the 148 patients,60 cases were cured,62 cases improved,and 26 cases died;the total treatment effective rate was 75.7%.The mortality of patients with NIHSS score from 11 to 20 points and 21 to 30 points were significantly higher than that of 0 to 10 points（all P 〈0.05）,and the mortality of patients with 21 to 30 points was significantly higher than that of 11 to 20 points（P 〈0.05）;The mortality of patient with blood loss from 10 to 15ml and 15 ml patients were significantly higher than that of 0 to 9ml patients（P 〈0.05）,but the difference of the mortality between 10 to 15 ml and 15 ml was not significant（P〉 0.05）;The mortality of the patients with ventricular rupture was significantly higher than that of the patients without ventricular rupture（P〈 0.05）;The differences of mortality between different parts of bleeding patients were not significant（P 〉0.05）.Conclusion The etiology,clinical symptoms,treatment methods and are related with prognosis among spontaneously aging cerebellar hemorrhage patients.

关 键 词：小脑出血 自发性 老年人 病因 临床症状 预后 

分 类 号：R714.246[医药卫生—妇产科学]