摘要
目的探讨影响高血压脑出血并发消化道出血的因素并提出预防措施。方法总结１９９１年５月至１９９６年５月间我院收治的２４０例高血压脑出血病人的有关资料，其中发生消化道出血者４１例。采用Ｌｏｇｉｓｔｉｃ回归模型分析各种可能因素对促使高血压脑出血并发消化道出血的作用。结果单因素分析显示：１出血部位，２意识状态，３血肿量，４出血破入脑室，５使用激素这５个因素显示统计学意义。但进入Ｌｏｇｉｓｔｉｃ多变量回归模型的因素只有出血破入脑室。结论出血破入脑室可能是导致消化道出血最危险的因素，尽早减压应是预防消化道出血的重要措施。
Objective In order to study the possible factors which may influence gastro- intestinal bleeding in patients with hypertensive cerebral hemorrhage and bring forth the procedures to prevent from gastro intestinal bleeding. Methods Single variable Logistic regression model and multiple variables analysis were used to analyse the factors contributed to bleeding. Results In single variable analysis, 5 factors had statistic significance: (1) location of hemorrhage, (2) conscious level, (3) volume of hematoma, (4) hemorrhage breaking into ventricles, (5) Usage of hormone (dexamethasone) . But only the 4th factor, hemorrhage breaking into ventricles demonstrated significance in muitiple variables analysis. Conclusions Hemorrhage breaking into ventricles is the most dangeous factor for causing gastro intestinal bleeding. Decreasing the pressure as early as possible will be necessary to prevent from gastro intestinal bleeding for patients with hypertensive cerebral hemorrhage.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1997年第6期324-326,共3页
Chinese Journal of Nervous and Mental Diseases
关键词
高血压
脑出血
消化道出血
高危因素
Hypertension Cerebral hemorrhage Gastro intestinal bleeding Logistic regression
