影响颅内动脉瘤开颅夹闭术后预后的因素分析  

Analysis of Factors Influencing the Prognosis of Intracranial Aneurysm after Craniotomy Clipping

作　　者：郭东斌[1] 郑锦亮[1] 刘天庆[1] GUO Dongbin;ZHENG Jinliang;LIU Tianqing(Longyan First Hospital,Longyan 364000,China;不详)

机构地区：[1]龙岩市第一医院,福建龙岩364000

出　　处：《中外医学研究》2022年第24期167-171,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析影响颅内动脉瘤开颅夹闭术预后效果的因素。方法:本次研究对象为2018年2月-2021年7月到龙岩市第一医院治疗的颅内动脉瘤患者,共选取225例,均接受开颅夹闭术,其中207例患者预后效果良好,设为对照组,18例患者预后效果差甚至死亡,设为观察组。通过收集患者的病例资料,用多因素Logistic回归分析对影响颅内动脉瘤预后的危险因素进行分析。结果:高血压、手术时机、术后并发症、Hunt-Hess分级、CT Fisher分级均属于影响颅内动脉瘤患者预后效果的独立危险因素(P<0.05)。结论:高血压、手术时机、术后并发症、Hunt-Hess分级、CT Fisher分级均属于影响颅内动脉瘤患者预后效果的危险因素,需要在临床中重点关注此类患者病情,及时采取针对性的方式控制,抑制疾病发展,从而提高治疗效果,改善预后。Objective:To analyze the factors affecting the prognosis of intracranial aneurysm after craniotomy clipping.Method:The subjects of this study were patients with intracranial aneurysm who came to Longyan First Hospital for treatment from February 2018 to July 2021.A total of 225 cases were selected,all received craniotomy clipping.Among them,207 patients with good prognosis were set as the control group,and 18 patients with poor prognosis or even death were set as the observation group.Multivariate Logistic regression analysis was used to analyze the risk factors affecting the prognosis of intracranial aneurysms.Result:Hypertension,operation timing,postoperative complications,Hunt-Hess classification and CT Fisher classification were all independent risk factors affecting the prognosis of patients with intracranial aneurysm (P<0.05).Conclusion:Hypertension,operation timing,postoperative complications,Hunt-Hess classification and CT Fisher classification are all risk factors affecting the prognosis of patients with intracranial aneurysm.It is necessary to pay attention to the condition of such patients in clinical practice,timely take targeted ways to control,inhibit the development of the disease,so as to improve the treatment effect and prognosis.

关 键 词：颅内动脉瘤 开颅夹闭手术 危险因素 并发症 预后 

分 类 号：R651.12[医药卫生—外科学]