手术治疗高血压脑出血短期预后因素分析

doi:10.3969/j.issn.1009-976X.2013.03.014

摘要/Abstract

摘要：

【摘要】目的 探讨影响手术治疗高血压脑出血患者短期预后的相关因素,为指导临床和预后评估提供依据。方法回顾性分析我院神经外科自2000年1月至2009年12月间收治的76例经手术治疗的高血压脑出血病例。入院时年龄、体重指数、收缩压、血肿体积、入院GCS评分、脑室是否有积血、是否出现肺部感染等资料为自变量,发病后3个月功能性评定(FIM)评分为因变量;利用t检验、方差分析以及线性相关分析,建立多重线性回归模型,筛选有意义的影响因素并确定其影响力。结果体重指数、血肿体积、入院GCS评分、入院时收缩压水平、是否肺部感染等因素均与手术治疗高血压脑出血的短期预后相关。结论高血压脑出血与多种因素相关。体重指数、血肿体积、入院GCS评分、入院时收缩压水平、是否肺部感染5因素是高血压脑出血短期预后的关键性预测因素。临床中应加强对这些因素的治疗、控制和预防。

关键词: 手术治疗, 高血压脑出血, 预后因素, 多重回归分析

Abstract:

【Abstract】 Objective To explore the factors influencing the prognosis of patients with hype-rtensive cerebral hemorrhage after operation. Methods Seventy-six patients diagnosed as hypertensive cerebral hemorrhage after surgery were retrospectively analyzed..Risk factors influencing the prognosis of patients include age, body mass index (BMI), haematoma volume, systolic pressure on admission, preoperative GCS values,.ventricular blood whether or not,.pulmonary infection as independent variables, and functional independence measure(FIM) after 3 months as dependent variable. Grouped measurement data was used t-test and f-test,continuous measurement data used linear correlation analysis, screened the influencing factors of prognosis of patients, then the valuable influencing factors were filtrated and formulated with multiple regression analysis model and their contribution were compared. Results The factors including BMI,.haematoma volume,.preoperative GCS values,.systolic pressure on admission,.pulmonary infection were associated with the prognosis of patients undergoing operation. Conclusion It is suggested that BMI,.haematoma volume,.preoperative GCS values, systolic pressure on admission, pulmonary infection are the critical predicted index of prognosis. More attentions should be paid to strengthen the treatment, disease control and prevention to them in clinic.

Key words: Operation, Hypertensive intracerebral hemorrhage, Prognosis, Multiple regression analysis

中图分类号:

R651.1

姚开立. 手术治疗高血压脑出血短期预后因素分析[J]. 岭南现代临床外科, 2013, 13(03): 214-217.

Yao Kaili. Prognostic analysis on patients with hypertensive cerebral hemorrhage after surgical treatment[J]. Lingnan Modern Clinics in Surgery, 2013, 13(03): 214-217.

参考文献

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