摘要
目的分析高血压脑出血术后发生再出血的相关危险因素,为临床预防术后再出血提供依据。方法回顾性分析我院2007年1月至2017年12月收治的413例高血压脑出血患者的临床资料,搜集术后再出血可能存在关联性的相关因素,总结高危因素。结果经单因素非条件Logistic回归分析收缩压、GCS评分、出血量、是否存在凝血功能障碍以及是否使用镇静镇痛药物与高血压脑出血患者术后再出血存在显著的相关性(P <0. 05);经多因素非条件Logistic回归分析收缩压、GCS评分、出血量以及是否存在凝血功能障碍是高血压脑出血患者术后再出血的危险因素(P <0. 05)。结论高血压脑出血患者术后再出血存在诸多的影响因素;围手术期收缩压较高、意识障碍程度较深、出血量较多、凝血功能障碍是术后发生再出血的独立影响因素,在临床工作中应给予足够的重视。
Objective To analyze the risk factors of postoperative rebleeding after hypertensive cerebral hemorrhage,and provide a basis for clinical prevention of postoperative recurrent hemorrhage. Methods The clinical data of 413 patients with hypertensive intracerebral hemorrhage in our hospital from January 2007 to December 2017 were retrospectively analyzed. The possible correlation factors of postoperative recurrent hemorrhage and the high-risk factors were collected and summarized. Results According to univariate unconditional logistic regression analysis,there was a significant correlation between systolic blood pressure,GCS score,bleeding volume,coagulation dysfunction and the use of sedative analgesics with the hypertensive cerebral hemorrhage after surgery（ P〈 0. 05）; they were also the risk factors of postoperative rebleeding after hypertensive cerebral hemorrhage according to the multivariate unconditional logistic regression analysis（ P〈 0. 05）. Conclusion The results indicate that there are many factors influencing postoperative rebleeding in patients with hypertensive cerebral hemorrhage. In the perioperative period,higher systolic blood pressure,deeper consciousness disorder,more bleeding,and coagulation dysfunction are independent factors influencing postoperative re-bleeding,and more attention should be paid to it.
作者
杨雪
潘金玉
魏利
张学应
鲜继淑
YANG Xue;PAN Jin-yu;WEI Li;ZHANG Xue-ying;XIAN Ji-shu(Department of Neurosurgery,First Hospital Affiliated to AMU,Chongqing 400038,China)
出处
《局解手术学杂志》
2018年第10期711-714,共4页
Journal of Regional Anatomy and Operative Surgery
基金
国家自然科学基金(81371340)
关键词
高血压脑出血
术后再出血
去骨瓣减压术
微创穿刺引流术
小骨窗开颅血肿清除术
hypertensive cerebral hemorrhage
rebleeding
decompressive craniectomy
mininlally invasive puncture and drainage
small bone window crainotomy hematonla removal
