脑出血患者出现早期血肿周围性水肿对预后的影响  

作　　者：刘玄玺 陈相兵[1] 吴云 

机构地区：[1]浙江省义乌市中心医院,322000

出　　处：《浙江临床医学》2021年第3期398-399,402,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨脑出血患者出现早期血肿周围性水肿对预后影响。方法纳入2016年12月至2018年6月脑出血患者156例,以发病后12h内出现早期血肿周围性水肿的患者作为早期水肿组,未出现早期血肿周围性水肿的患者为对照组。观察两组改良Rankin评分和预后不良事件的发生情况。结果早期水肿组Rankin评分和预后不良事件的发生率均显著高于对照组(P<0.05)。出血部位为基底神经节、NHISS评分≥14、GCS评分≤8、入院时收缩压≥160 mmHg、入院时舒张压≥100 mmHg、既往高血压会增加血肿周围水肿发生的风险。结论脑出血患者出现早期血肿周围性水肿会增加预后不良事件的发生风险,临床上对于脑出血患者的诊治时,应谨慎处理血肿周围水肿的发生。Objective To explore the prognostic effect of early perihematomal edema in patients with cerebral hemorrhage.Methods The patients with cerebral hemorrhage admitted to our hospital from December 2016 to June 2018 were included as the study subjects.The patients with early perihematomal edema within 12 hours after onset were selected as the early edema group,and the patients without early perihematomal edema were selected as the control group according to 1:1.The modified Rankin score and the occurrence of adverse prognostic events were observed in both groups.Results Rankin score and incidence of adverse prognosis events in early edema group were significantly higher than those in control group(P<0.05).Basal ganglia,NHISS score(>14),GCS score(<8),systolic blood pressure(>160 mmHg)at admission,diastolic blood pressure(>100 mmHg)at admission,and previous hypertension increased the risk of perihematomal edema.Conclusion Early perihematomal edema in patients with intracerebral hemorrhage increases the risk of adverse prognosis events.In clinical diagnosis and treatment of patients with intracerebral hemorrhage,the occurrence of perihematomal edema should be carefully handled.

关 键 词：脑出血 早期血肿周围性水肿 预后影响 Rankin评分 

分 类 号：R74[医药卫生—神经病学与精神病学]