高血压脑出血患者微创钻孔引流术后预后不良的影响因素  

Influencing Factors of Poor Prognosis in Patients with Hypertensive Intracerebral Hemorrhage after Minimally Invasive Drilling and Drainage

作　　者：杨克[1] 邱平华[1] 吴植念 YANG Ke;QIU Pinghua;WU Zhinian(Jieyang People’s Hospital,Jieyang 522000,China;不详)

机构地区：[1]揭阳市人民医院,广东揭阳522000

出　　处：《中外医学研究》2021年第10期166-168,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨高血压脑出血患者微创钻孔引流术后预后不良的影响因素。方法:回顾性分析2017年1月-2020年6月于笔者所在科接受微创钻孔引流术后预后不良的60例高血压脑出血患者临床资料,将其纳入预后不良组,并将同期接受微创钻孔引流术后预后良好的60例高血压脑出血患者临床资料纳入预后良好组。比较两组患者基线资料,经Logistic回归分析高血压脑出血患者微创钻孔引流术后预后不良的影响因素。结果:经单因素及Logistic回归分析结果显示,年龄大、术前血肿体积大、术后残余血肿体积大、术后肺部感染均为高血压脑出血患者微创钻孔引流术后预后不良的危险因素(OR>1,P<0.05)。结论:年龄、术前血肿体积、术后残余血肿体积、术后肺部感染为高血压脑出血患者微创钻孔引流术后预后不良的影响因素,临床应及时采取相应措施进行干预,以改善患者预后。Objective:To explore the influencing factors of poor prognosis in patients with hypertensive intracerebral hemorrhage after minimally invasive drilling and drainage.Method:The clinical data of 60 hypertensive cerebral hemorrhage patients with poor prognosis after minimally invasive drilling and drainage in our department from January 2017 to June 2020 were included in the poor prognosis group,and the clinical data of 60 hypertensive cerebral hemorrhage patients with good prognosis after minimally invasive drilling and drainage in our department during the same period were included in the good prognosis group.The baseline data of the two groups were compared,and the influencing factors of poor prognosis were analyzed by logistic regression.Result:Univariate and Logistic regression analysis showed that older age,larger volume of preoperative hematoma and postoperative residual hematoma,postoperative pulmonary infection were the risk factors of poor prognosis in patients with hypertensive intracerebral hemorrhage after minimally invasive drilling and drainage (OR>1,P<0.05).Conclusion:Age,preoperative hematoma volume and postoperative residual hematoma volume,postoperative pulmonary infection are the influencing factors of poor prognosis in patients with hypertensive intracerebral hemorrhage after minimally invasive drilling and drainage.In order to improve the prognosis of patients,corresponding measures should be taken in time.

关 键 词：高血压脑出血 微创钻孔引流术 预后不良 血肿体积 肺部感染 

分 类 号：R651.1[医药卫生—外科学]