【摘要】 目的:对高血压脑出血微创治疗患者近期预后的因素进行分析探讨。方法:选取2013年1月-2015年1月本院收治的160例高血压脑出血患者作为研究对象,所有患者均行微创血肿清除术,观察治疗效果,并对预后影响因素进行分析。结果:根据治疗效果分为预后良组52例和预后差组108例,预后良组与预后差组患者在出血部位、意识形态分级、术前血糖值、术后并发症、术后是否复发、术前格拉斯昏迷指数(GCS)及术前平均动脉压(MAP)方面比较差异均有统计学意义(P<0.05);Pearson与Spearman分析表明,术前MAP、术前意识状态分级同预后呈负相关,术前GCS值同预后呈正相关(P<0.05);Logistic回归分析显示,出血部位、术前意识状态分级及术后并发症发生情况均为影响预后的因素(P<0.05),其中术后并发症为最危险的因素。结论:出血部位、术前意识状态分级及术后并发症发生情况是高血压脑出血近期疗效的重要评价标准,对预后影响因素进行综合性评价有利于为临床治疗及预后评价提供依据。更多还原

【Abstract】 Objective:To analyze the short-term prognosis of minimally invasive treatment of hypertensive cerebral hemorrhage.Method:From January 2013 to January 2015,160 cases of hypertensive cerebral hemorrhage patients in our hospital were selected as the research objects,the treatment effect were observed after all patients underwent minimally invasive evacuation of hematoma,and the prognostic factors were analyzed.Result:The patients were divided into good prognosis group(52 cases)and poor prognosis group(108 cases) according to the results of treatment.The differences in the position of bleeding,classification of ideology,preoperative blood glucose level,postoperative complications,postoperative recurrence,preoperative Glasgow Coma Scale(GCS) and preoperative mean arterial pressure(MAP) between the two groups were statistically significant(P<0.05).Analysis of Pearson and Spearman showed theat preoperative MAP,preoperative consciousness state were negatively correlated with the prognosis of the patients,and the preoperative GCS value was positively correlated with the prognosis(P<0.05).Logistic regression analysis showed that bleeding site,preoperative conscious state and postoperative complications were all factors affecting prognosis(P<0.05),and postoperative complications was the most dangerous factor.Conclusion:The bleeding site,preoperative conscious state and postoperative complications are important evaluation criteria of the short-term efficacy of hypertensive intracerebral hemorrhage,and comprehensive evaluation of prognostic factors is beneficial for clinical treatment and prognosis evaluation.更多还原