青年患者高血压性基底节区脑出血经外侧裂入路治疗的预后危险因素分析  

A STUDY ON RISK FACTORS OF PROGNOSIS OF YOUNG PATIENTS WITH HYPERTENSIVE INTRACEREBRAL HEMORRHAGE IN BASAL GANGLIA TREATED BY LATERAL FISSURE APPROACH

作　　者：张亮[1] 赵保钢[1] 付辉[1] 孙智宏[1] ZHANG Liang;ZHAO Bao-gang;FU Hui(Neurosurgery,DaXing Hospital of Capital Medical University,Beijing 102600 China)

机构地区：[1]首都医科大学大兴医院神经外科,北京102600

出　　处：《内蒙古医科大学学报》2020年第3期239-241,256,共4页Journal of Inner Mongolia Medical University

摘　　要：目的:探讨影响经外侧裂入路治疗青年人基底节区高血压脑出血预后的危险因素。方法:选择2006-01~2019-06在我院接受外侧裂入路治疗的青年基底节区高血压性脑出血患者资料进行回顾性分析,收集患者年龄、性别、身体质量指数、血压、出血量、术前GCS、合并症等临床资料,观察与临床预后的相关性。结果:单因素分析显示,性别、糖尿病与患者的预后不良无相关性(P>0.05),年龄、身体质量指数、GCS评分、出血量、血肿破入脑室、手术时机、高血压病史、合并脑疝、最高收缩压与预后不良具有相关性(P<0.05)。多因素二分类Logistic分析结果显示,出血量≥50mL、脑疝、手术时机是导致患者预后不良的独立危险因素(P<0.05),GCS评分是预后不良的保护性因素(P<0.05)。结论:青年患者高血压性基底节区脑出血经外侧裂入路治疗的预后受多种因素综合影响,应引起临床重视。Objective:To study the risk factors of prognosis of young patients with hypertensive intracerebral hemorrhage in basal ganglia treated by lateral fissure approach.Methods:There is a retrospective analysis of the data of young patients with hypertensive cerebral hemorrhage in basal ganglia treated by lateral approach in our hospital from January 2006 to June 2019.The clinical data of these patients’age,sex,body mass index,blood pressure,bleeding volume,preoperative GCS and complications were collected to observe their correlation with clinical prognosis.Results:The univariate analysis shows that there is no correlation between sex,diabetes and poor prognosis of patients(P>0.05),and the age,body mass index,GCS score,bleeding volume,hematoma rupture into ventricle,timing of operation,history of hypertension,cerebral hernia,maximum systolic pressure are correlated with poor prognosis(P<0.05).The multivariate binary logistic analysis shows that bleeding volume(≥50 mL),cerebral hernia and timing of operation are independent risk factors contributed to poor prognosis(P<0.05),and GCS score is a protective factor of poor prognosis(P<0.05).Conclusion:The prognosis of young patients with hypertensive cerebral hemorrhage in basal ganglia treated by lateral fissure approach is affected by many factors,which should be paid attention to clinic.

关 键 词：青年患者 基底节区 脑出血 高血压 预后 经外侧裂入路 

分 类 号：R543[医药卫生—心血管疾病]