【摘要】 目的:分析高血压性脑出血患者术后再出血的相关因素和临床特点。方法:选择行手术治疗的148例脑出血患者,按照术后再出血分为再出血组17例和未出血组131例,分析两组患者性别、年龄、原发性高血压患病年限、糖尿病史、高胆固醇病史、出血部位、出血量、术后收缩压、术后舒张压等9项指标,并作为高血压脑出血(HCH)手术后再出血的早期备选预警指标,进行多因素Logistic回归分析,评价这些指标的早期预警作用。结果:多元回归分析结果显示,年龄、高血压病程、糖尿病史和术后收缩压与HCH开颅术后再出血呈正相关。结论:HCH术后再出血的危险因素为糖尿病史、高血压病程和术后高收缩压。更多还原

【Abstract】 Objective To analyze the conrrelated factors for recurrent hemorrhage after craniotomy in patients with hypertensive cerebral hemorrhage(HCH).Method Clinical data of 148 HCH patients undergone surgery were retrospectively analyzed,divided into becurrent hemorrhage group with 17 examples and no bleed group with 131 examples,carried out risk factors(gender,age,duration of hypertension,history of diabetes mellitus and hypercholesterolemia,volume of hemorrhage and post-surgical systolic and diastolic pressure) for recurrent hemorrhage after craniotomy in patients with HCH.Results Multiple regression analysis indicated that age,duration of hypertension,history of diabetes mellitus and post-surgical systolic pressure had positive correlation with recurrent hemorrhage after craniotomy in patients with HCH.Conclusion Risk factors for recurrenthemorrhage after craniotomy in patients with HCH are age,diabetes,long-term hypertension and higher post-surgical systolic pressure.更多还原