高血压性脑出血微创穿刺血肿清除术后生活质量多因素分析  

Multivariate analysis of quality of life in patients with hypertensive hemorrhage undergoing minimally invasive puncture hematoma evacuation

作　　者：殷骏[1] 吴高远 钱洪波[1] YIN Jun;WU Gaoyuan;QIAN Hongbo(Department o f Neurosurgery,Anqing First People’s Hospital,Anqing,Anhui 246000,China)

机构地区：[1]安庆市第一人民医院神经外科,安徽省安庆市246000

出　　处：《中国动脉硬化杂志》2020年第4期333-338,共6页Chinese Journal of Arteriosclerosis

摘　　要：目的探讨基底核区高血压性脑出血行微创穿刺血肿清除术后生活质量的影响因素。方法回顾分析进行微创穿刺血肿清除术的80例基底核区高血压性脑出血患者病例资料,对影响患者术后生活质量的相关因素进行单因素分析及Logistic回归分析。结果单因素分析结果表明,患者的年龄、家庭人口数、婚姻状况、受教育程度、家庭月收入、脑中线移位、脑出血量、脑疝及破入脑室情况以及患者意识状态对患者的术后生理健康具有显著影响;家庭人口数、是否与子女同住、婚姻状况、意识状态均是影响患者术后心理健康评分的显著因素;多因素分析结果显示家庭人口数(OR=1.941,95%CI 1.175~3.206)及脑中线位移(OR=0.589,95%CI 0.363~0.956)、脑出血量(OR=10.253,95%CI 6.099~17.235)是影响患者术后生理健康的独立影响因素;婚姻状况(OR=0.487,95%CI 0.357~0.664)及是否与子女同住(OR=5.392,95%CI 5.145~5.652)是影响患者术后心理健康的独立影响因素,其中家庭人口数、脑中线位移、脑出血量与患者生理健康评分呈显著负相关,婚姻状况与心理健康评分呈显著负相关,与子女同住与心理健康评分呈显著正相关。结论基底核区高血压脑出血患者在行微创穿刺血肿清除术后的生活质量与患者的家庭人口数、脑中线移位、脑出血量、婚姻状况以及是否与子女同住密切相关。Aim To investigate the influencing factors of quality of life in patients with hypertensive cerebral hemorrhage in the basal ganglia after minimally invasive hematoma evacuation.Methods A retrospective analysis of 80 patients with hypertensive cerebral hemorrhage in the basal ganglia with minimally invasive hematoma evacuation in our hospital from January 2012 to January 2015 was performed,a single factor analysis of the factors affecting postoperative quality of life and Logistic regression analysis was performed to investigate the independent influencing factors of quality of life in patients with hypertensive cerebral hemorrhage in the basal ganglia undergoing minimally invasive puncture hematoma evacuation.Results Univariate analysis showed that the patient age,family size,marital status,education level,family monthly income,midline shift,cerebral hemorrhage,cerebral palsy and cerebral ventricle,and patient consciousness have significant effects on postoperative physical health of patients(P<0.05);family size,whether living with children,marital status,and state of consciousness were significant factors affecting postoperative mental health(P<0.05);multivariate analysis showed that the number of family members(OR=1.941,95%CI 1.175~3.206)and midline displacement(OR=0.589,95%CI 0.363~0.956),cerebral hemorrhage(OR=10.253,95%CI 6.099~17.235)is an independent influencing factor affecting postoperative physical health;marital status(OR=0.487,95%CI 0.357~0.664)and whether or not living with children(OR=5.392,95%CI 5.145~5.652)is affecting patients independent influence factors of post-mental health.There was a significant negative correlation between family size,midline displacement,and cerebral hemorrhage and physical health scores.Marriage status was significantly negatively correlated with mental health scores,and positively correlated with children’s living and mental health scores.Conclusion The quality of life of patients with hypertensive cerebral hemorrhage in the basal ganglia is significantly related to

关 键 词：基底核区 高血压性脑出血 微创穿刺血肿清除术 术后生活质量 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]