摘要
目的 分析高血压性脑出血影响血肿扩大及短期预后的相关因素,为临床上的治疗提供理论依据.方法 选择2012年1~12月在我院进行治疗的高血压脑卒中患者100例为调查对象,所有患者均符合纳入标准.调查患者的一般资料,测定入院后的△SBP,测定出血量,早期血肿增大情况,分析急性期的血压与短期预后相关的因素.结果 复查头颅CT,其中31例患者出现血肿扩大.影响血肿扩大的单因素分析结果为,入院时NIHSS、血肿形态不规则、入院后△SBP≥50 mm Hg,其中血肿形态、入院后△SBP与血肿扩大有相关性.入院时△SBP、首次CT血肿体积、血肿扩大是影响预后的主要因素.结论 高血压性脑出血患者,发病后的△SBP是血肿扩大的危险因素,其他还有血肿形态不规则.而出血量、血肿扩大是影响预后的独立危险因素.
Objective To analyze the hypertensive intracerebral out affect hematoma enlargement and short-term prognosis, provide a theoretical basis for clinical treatment. Methods Hypertensive stroke patients treated in our hospi- tal from January to December 2012, 100 cases for the survey, all patients met the inclusion and exclusion criteria. In- vestigation of patients with general information, measured after admission ASBP, determination of the amount of bleeding, early hematoma increases, the analysis of the acute phase of the blood pressure and related factors with the short-term prognosis. Results Of head CT, 31 patients hematoma enlargement. The univariate analysis results affect hematoma enlargement： the admission NIHSS, hematoma irregular ASBP~〉50 mmHg after admission, which hematoma morphology, ASBP after admission and hematoma expansion correlation. Admission ASBP, the initial CT hematoma volume, hematoma expansion of the main factors affecting prognosis A SBP. Conclusion Hypertensive intracerebral hemorrhage patients after the onset of hematoma enlargement there hematoma irregular morphology related. Out of blood, hematoma enlargement is an independent prognostic risk factors.
出处
《中国现代医生》
2013年第16期31-33,共3页
China Modern Doctor
基金
国家自然科学基金(81070922)
关键词
高血压
脑出血
短期预后
相关因素
Hypertension
Cerebral hemorrhage
Short-term prognosis
Relevant factors
