自发性蛛网膜下腔出血并发癫痫发作的相关危险因素分析  

Correlated risk factors analysis of subarachnoid hemonhage complicated with epilepsy

作　　者：马燕[1] 刘建英[1] 朱梦君[1] 黄春燕[1] 洪虹 龚杰[1] 

机构地区：[1]浙江医院,浙江杭州310012

出　　处：《浙江医学教育》2018年第1期58-60,共3页Zhejiang Medical Education

摘　　要：目的:探讨自发性蛛网膜下腔出血(SAH)并发癫痫发作的危险因素及其护理措施。方法:采用回顾性病例对照法,依据是否发生癫痫发作将225例SAH患者分为病例组(36例)和对照组(189例),回顾性收集可能影响SAH合并癫痫发作的相关危险因素,采用单因素比较和多因素分析来筛选影响SAH合并癫痫发作的危险因素。结果:SAH合并癫痫发作的发生率为16.0%(36/225);多因素分析结果显示,脑梗死(OR=2.540)、入院GCS评分(OR=3.702)、Fisher评分(OR=5.411)及脑积水(OR=6.890)均为SAH合并癫痫发作的危险因素。结论:SAH合并癫痫发作的发生率在SAH患者中所占比例较高,其独立危险因素包括脑梗死、入院GCS评分低、Fisher评分高及并发脑积水,应针对这些高危因素采取必要的干预措施。[Objective]To explore the risk factors and nursing intervention measures of subarachnoid hemonhage(SAH) associated with epilepsy. [Method]With retrospective case-control study method,225 cases of SAH were divided in to case group(36 cases) and control group(189 cases) according to whether existing epilepsy or not. Correlated risk factors were retrospectively collected,and single factor comparison and multiple factors analysis method were used to screen the risk factors SAH complicated with epilepsy. [Result]The incidence rate of SAH accompanied with epilepsy was 16. 0%(36/225). Multiple factors analysis result indicated that cerebral infarction(OR = 2. 540),GCS score of admission(OR = 3. 702),Fisher score(OR =5. 411) and hydrocephalus(OR = 6. 890) were the independent risk factors of SAH associated with epilepsy.[Conclusion]SAH complicated with epilepsy were existed in a high ratio of SAH patients. The high risk factors of SAH with epilepsy including cerebral infarction,low score of GCS of admission,high score of Fisher and hydrocephalus. Essential intervention measures should be adopted for these high risk factors of SAH complicated with epilepsy.

关 键 词：蛛网膜下腔出血 癫痫 危险因素 护理 

分 类 号：R473.74[医药卫生—护理学]