高血压脑出血立体定向排空术后再出血的危险因素分析  

Analysis of risk factors of rebleeding after stereotactic-guided evacuation of hypertensive intracerebral hemorrhage

作　　者：侯秦汉 刘全[1] 闫宪磊[1] HOU Qin-han;LIU Quan;YAN Xian-lei(Liuzhou Worker's Hospital,Liuzhou 545005,China)

机构地区：[1]柳州市工人医院,广西柳州545005

出　　处：《临床医学研究与实践》2020年第7期19-20,23,共3页Clinical Research and Practice

摘　　要：目的通过回顾分析既往病例,探索高血压脑出血患者行立体定向排空术后再出血的危险因素。方法选取2016年5月至2019年5月于我科住院治疗的行立体定向排空术的高血压脑出血患者332例,将术后再出血的患者归为观察组(28例),无再出血的患者归为对照组(304例)。分析多种因素对脑出血立体定向排空术后再出血的影响。结果两组患者的血肿量、术后SAS评分、SBP、平均动脉压、SBP-180负荷比较,差异具有统计学意义(P<0.05)。Logistic回归分析显示,术后SBP及SBP-180负荷是立体定向排空术后再出血的独立危险因素(P<0.05)。结论术后SBP及SBP-180负荷是预测脑出血立体定向排空术后再出血的独立危险因素,同时大血肿以及躁动患者更易出现术后再出血。Objective To explore the risk factors of rebleeding after stereotactic-guided evacuation in patients with hypertensive intracerebral hemorrhage.Methods A total of 332 patients with hypertensive intracerebral hemorrhage who underwent stereotactic-guided evacuation and hospitalized in our department from May 2016 to May 2019 were selected.Patients with postoperative rebleeding were classified as observation group(28 cases),while patients without rebleeding were classified as control group(304 cases).The effects of various factors on rebleeding after stereotactic-guided evacuation of intracerebral hemorrhage were analyzed.Results There were significant differences in hematoma volume,postoperative SAS score,SBP,mean arterial pressure and SBP-180 load between the two groups(P<0.05).Logistic regression analysis showed that postoperative SBP and SBP-180 load were independent risk factors for rebleeding after stereotactic-guided evacuation(P<0.05).Conclusion Postoperative SBP and SBP-180 load are the independent risk factors for predicting postoperative rebleeding after stereotactic-guided evacuation of cerebral hemorrhage,while patients with large hematoma and agitation are more likely to have postoperative rebleeding.

关 键 词：高血压脑出血 立体定向 再出血 

分 类 号：R544.1[医药卫生—心血管疾病] R651.12[医药卫生—内科学]