摘要
目的:探讨影响高血压脑出血微创手术病人预后的相关因素。方法:按手术后3个月的Barthel指数(B I)将128例高血压脑出血微创手术病人进行分组,70分以上(72例)为甲组,70分以下(56例)为乙组,通过对两组病人入院时的中国卒中量表(CSS)评分、手术时间、出血量、手术后的血压、血肿引流速度、并发症发生率(消化道出血、高热、水电解质紊乱)进行统计学分析,比较其相关性。结果:两组间术前诸多因素统计学分析差异无显著性,术后甲组血肿引流速度较快,术后36小时累计引出血肿75%以上达55例,占该组76.4%。血压稳定,并发症的发生率低,与乙组相比差异存在显著性(P<0.05)。结论:影响高血压脑出血微创手术预后的关键因素是血肿引流速度恰当,血肿引流存在时间窗,如果能在术后36小时内将大部血肿引出,将避免和减轻灶周病理的产生和发展,减少并发症的发生率,对预后起关键作用。
Objective： To investigate the influence factors of minimal invasive therapy for hypertensive intracerebral hemorrhage. Methods ：We choosed 128 patients with hypertensivc intracerebral hemorrhage, and were treated by minimal invasive therapy, divided with two groups according to barthel score at the Third month after operation. The Blscore（≥70）was in group A and BI score （〈70） was in group B analysis and muhivariable logistic regression method were used to analysis the influence factor of CCS, the time of operation , amount of hemorrhage , BP level after operation , speed of hemorrhage discharged, complication（ high fever , hemorrhage of upper digestive tract, water - electrolyte, imbalance ）. To compare of the relativity. Results： Before operation two groups many factor no significant difference. The hematoma eduction speed of group A was faster than group B and a few the complication. There are significant difference between the two groups （P 〈 0.005）. Conclusions： The key factor of influence prognosis in minimal invasive therapy for hypertensive intracerehral hemorrhage is the speed of hemorrhage eduction.
出处
《中国民康医学》
2006年第9期346-348,共3页
Medical Journal of Chinese People’s Health
关键词
高血压脑出血
微创手术
预后
血肿引流速度
Hypertensive intracerebral, Hemorrhage minimal invasive therapy
Prognosis
Speed of hemorrhage eduction
