青年高血压脑出血预后的影响因素研究  

Study on factors affecting prognosis of hypertensive cerebral hemorrhage in adolescents

作　　者：李艳[1] 李林艳[1] 商丹丹[1] 

机构地区：[1]郑州大学附属洛阳中心医院神经内科,河南洛阳471000

出　　处：《保健医学研究与实践》2017年第3期46-48,共3页Health Medicine Research and Practice

摘　　要：目的探讨青年高血压脑出血预后的影响因素。方法选取洛阳市某医院2013年1月-2015年9月收治的60例青年高血压脑出血患者作为研究对象。根据患者的治疗效果将患者分为好转组(n=36)与未好转组(n=24)。分析2组患者的年龄、性别、出血部位、是否喝酒、血液是否破入脑室、术前格拉斯哥昏迷指数(GCS)评分、术前平均收缩压、是否合并脑疝、手术血肿清除度等因素对患者预后的影响。结果 2组患者的年龄、术前平均收缩压、手术血肿清除度比较,差异均无统计学意义(P>0.05);好转组患者术前GCS评分高于未好转组,差异有统计学意义(P<0.01)。患者的好转率在性别、出血部位等方面的差异无统计学意义(P>0.05);而在是否喝酒、血液是否破入脑室、是否合并脑疝等方面的差异有统计学意义(P<0.05)。二元Logistic回归分析结果表明,术前GCS评分、血液破入脑室及合并脑疝是影响患者预后的单一因素(P<0.01)。结论术前GCS评分、血液破入脑室及合并脑疝为影响青年高血压脑出血的因素。Objective To explore that affecting the prognosis of hypertensive cerebral hemorrhage in adolescents. Methods From January 2013 to September 2015, 60 young patients with hypertensive cerebral hemorrhage in a hospital of Luoyang were selected as objects of study. The patients were divided into improved group （n = 36） and unimproved group（n = 24）, and factors including ages, gender, bleeding parts, whether drink al- cohol, whether blood flow into ventricle, preoperative score of Glasgow Coma Scale（GCS）, preoperative aver age systolic pressure, whether complicated with cerebral hernia and effect of hematoma clearance were analyzed to research their influence on the prognosis of patients. Results Comparing the factors of 2 groups including ages, preoperative average systolic pressure, effect of hematoma clearance, there was no statistical significance（P〉0.05）. The GCS grade of improved group was higher than the unimproved group and the diffirenee showed statistical significanee（P〈0.01）. The difference between patients＇ improvement rates showed no statistical significance on gender, bleeding parts （P 〉 0.05）, while it had statistical significance on whether drink, whether blood flow into ventricle and whether complicated with cerebral hernia（P〈0.01）. Binary Logistic regression analysis results showed that the preoperative GCS score, blood flow into the ventricle and complicated with cerebral hernia ware single factors affecting the prognosis of patients （P〈0.01）. Conclusion The preoperative CCS score, blood is broken into the ventricle, merger cerebral hernia are factors affecting hypertensive cerebral hemorrhage in adolescents.

关 键 词：青年高血压 脑出血 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病] R743.34[医药卫生—内科学]