微创血肿清除术治疗高血压基底节区脑出血预后的影响因素分析  

Influential factors for the prognosis of minimally invasive hematoma evacuation in the treatment of patients with cerebral hemorrhage

作　　者：齐跃[1] QI Yue(Tanghe County People's Hospital,Tanghe 473400,China)

机构地区：[1]唐河县人民医院,河南唐河473400

出　　处：《中国实用神经疾病杂志》2019年第21期2405-2411,共7页Chinese Journal of Practical Nervous Diseases

摘　　要：目的 分析微创血肿清除术治疗高血压基底节区脑出血患者预后的影响因素.方法 选择2016-01-2018-12符合纳入标准的120例高血压基底节区脑出血患者,对其临床资料进行回顾性分析,所有患者采用微创血肿清除术治疗,分析影响预后的因素.结果 单因素分析显示,年龄<50岁 、术前GCS评分9~15分 、术前血肿量40~60 mL、术前空腹血糖<7.8 mmol/L、未破入脑室 、超早期手术 、未合并肺部感染的患者术后预后较好(P<0.05).多因素分析显示,术前GCS、术前血肿量 、术前空腹血糖 、破入脑室 、手术时机 、合并肺部感染是影响预后的独立相关因素.结论 影响微创血肿清除术治疗高血压基底节区脑出血患者预后的因素较多,而超早期手术 、术后预防肺部感染等能改善患者预后.Objective To investigate the influencing factors of minimally invasive hematoma evacuation in patients with cerebral hemorrhage in hypertensive basal ganglia.Methods The clinical data of 120 patients who met the above inclusion criteria from January 2016 to December 2018 were retrospectively analyzed.All patients were treated with minimally invasive hematoma evacuation to analyze the factors affecting the prognosis of patients.Results Univariate analysis showed that age<50 years,preoperative GCS score 915 points,preoperative hematoma volume 4060mL,preoperative fasting blood glucose<7.8mmol/L,did not break into the ventricles,super early surgery,no lungs In patients with infection,the prognosis was better(P<0.05).Multivariate analysis showed that preoperative GCS,preoperative hematoma volume,preoperative fasting blood glucose,rupture into the ventricle,timing of surgery,and pulmonary infection were independent factors that affected the prognosis of patients.Conclusion There are many factors influencing the prognosis of patients with cerebral hemorrhage in the basal ganglia of hypertension.Ultra early surgery and postoperative prevention of pulmonary infection can improve the prognosis of patients.

关 键 词：高血压 基底节区 脑出血 微创血肿清除术 预后 影响因素 

分 类 号：R743.34[医药卫生—神经病学与精神病学]