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高血压脑出血术后再出血患者的危险因素及预后分析

Risk Factors and Prognosis of Postoperative Rebleeding in Patients with Hypertensive Intracerebral Hemorrhage

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【作者】 奚新明田晓金谭支强王军民

【Author】 Xi Xin-ming;Tian Xiao-jin;Tan Zhi-qiang;Department of Neurosurgery,Xishui People’s Hospital of Hubei;

【机构】 湖北省浠水县人民医院神经外科武汉大学人民医院神经外科

【摘要】 目的:探讨高血压脑出血术后再出血患者的危险因素与预后相关措施。方法:回顾性分析150例高血压脑出血术患者的临床资料,对再出血危险因素采用Logistic进行回归分析,总结归纳有效的预后处理措施。结果:患者的高血压病史、术后躁动、术后血压波动、术中发现责任动脉、年龄以及糖尿病均属于高血压脑出血术后再出血危险因素,与未出血患者相比具有统计学意义,P<0.05。结论:高血压脑出血患者术后再出血的独立指标可用在临床预测高血压脑出血患者的术后再出血可能性匕,提高可靠的参考价值。

【Abstract】 Objective:To investigate the risk factors and prognosis of patients with hypertensive cerebral hemorrhage after operation.Methods:The clinical data of 150 patients with hypertensive intracerebral hemorrhage were analyzed retrospectively.The risk factors of rebleeding were analyzed by Logistic regression.Results:The patients with hypertension,postoperative agitation,postoperative blood pressure,intraoperative findings,age and diabetes responsibility artery are risk factors for the recurrence of hypertensive intracerebral hemorrhage,compared with patients without bleeding has statistical significance,P < 0.05.Conclusion:The independent index of postoperative rebleeding in patients with hypertensive cerebral hemorrhage can be used to predict the possibility of postoperative rebleeding in patients with hypertensive intracerebral hemorrhage,and to improve the reliable reference value.

  • 【文献出处】 中国医药导刊 ,Chinese Journal of Medicinal Guide , 编辑部邮箱 ,2017年03期
  • 【分类号】R651.12
  • 【被引频次】11
  • 【下载频次】66
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