摘要
目的 探讨多发动脉瘤（MIA）并发蛛网膜下腔出血（SAH）患者预后的影响因素。方法南方医科大学珠江医院神经外科自2000年1月至2011年1月共收治MLA并发SAH患者93例．分析其临床资料并对影响患者预后的因素进行单因素、多元线性回归分析。结果单因素分析结果显示患者性别、是否治疗及是否有高血压病史、Hunt-Hess分级、治疗方式对预后的影响具有统计学意义（P〈0．05）；多元线性回归分析结果显示Hunt-Hess分级、治疗方式是影响MIA并发SAH患者预后的独立危险因素（P〈0．05）。结论MLA并发SAH患者的预后受Hunt-Hess分级、治疗方式2个因素影响。早期对破裂动脉瘤判别并处理，对非破裂动脉瘤随访观察、适度干预，大多数患者都可获得满意的预后。
Objective To explore the factors that may influence the prognosis of patients with multiple intracranial aneurysms （MIA） in subarachnoid hemorrhage （SAH）. Methods A retrospective review was performed to analyze the medical records of 93 patients who had been managed in our department fi＇om January 2000 through January 2011 for MIA in SAH. Results The single factor analysis showed that the gender, preoperative Hunt-Hess grade, treatment protocol and a history of hypertension had significant influences on the prognosis of the patients （P〈0.05）. The multiple linear regression analysis revealed that the preoperative Hunt-Hess grade and treatment protocol were 2 independent risk factors of the prognosis of the patients （P〈0.05）. Conclusions The preoperative Hunt-Hess grade and the treatment protocol appear to be related to the prognosis of patients with MIA in SAH. Early diagnosis and treatment of ruptured aneurysms, as well as careful observation and proper intervention ofunruptured aneurysms, can result in a satisfactory prognosis in most patients with MIA in SAH.
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2012年第2期152-155,共4页
Chinese Journal of Neuromedicine
关键词
颅内多发动脉瘤
蛛网膜下腔出血
治疗
预后
Multiple intracranial aneurysms
Subarachnoid hemorrhage
Treatment
Prognosis
