慢性硬膜下血肿相关因素临床分析.doc

慢性硬膜下血肿相关因素临床分析 　　[摘要] 目的 探讨慢性硬膜下血肿的临床特征及其诊治。 方法 对2013年7月～2016年10月山西大同第五人民医院收治的98例慢性硬膜下血肿患者的临床资料进行回顾性分析。 结果 慢性硬膜下血肿患者以老年人多见，且男性明显多于女性。男性和女性之间临床症状、治疗方法及预后效果比较均无明显差异（P0.05）。男女不同年龄段之间比较发现：在男性患者中70岁及以上者高血压和脑萎缩发生率较70岁以下者高（P=0.005，P=0.001），70岁以下者糖尿病发生率较70岁及以上者高（P=0.049）；而在女性患者中70岁以上者脑萎缩发生率较高（P=0.036）。临床表现以头昏头痛、肢体活动障碍、言语功能障碍、视物模糊和精神症状为主，男性患者中70岁及以上者语言障碍和肢体活动障碍发生率较70岁以下者高（P=0.043，P0.05）。治疗效果观察：男性患者手术治疗效果明显优于保守治疗（P0.05）。 结论 对高危人群应警惕对待临床症状，做好早发现、早诊断和正确治疗 [关键词] 慢性硬膜下血肿；诊断；治疗 [中图分类号] R651.15 [文献标识码] A [文章编号] 1673-9701（2017）12-0013-04 [Abstract] Objective To investigate the clinical characteristics， diagnosis and treatment of chronic subdural hematoma. Methods The clinical data of 98 patients with chronic subdural hematoma from July 2013 to October 2016 in Shanxi Datong Fifth People’s Hospital were analyzed retrospectively. Results Chronic subdural hematoma was more common in the elderly， and the chronic subdural hematoma in male was significantly more than that of the female. There were no significant differences in clinical symptoms， treatment methods and prognosis between the male and female（P0.05）. By comparing men and women of different age groups， it was found that the incidences of hypertension and brain atrophy of patients ≥70 years old was higher than those in patients below 70 years old（P=0.005， P=0.001）， while the incidence of diabetes mellitus in patients below 70 years old was higher than that in patients ≥70 years old（P=0.049）. And the incidence of brain atrophy was higher in women ≥70 years old（P=0.036）. The clinical manifestations were mainly dizziness， headache， limb mobility disorders， speech dysfunction， blurred vision and psychiatric symptoms， and the incidences of physical disorders and physical activity were higher in male patients over 70 years than those in patients below 70 years old（P=0.043， P0.05）. Treatment effect observation： The effect of surgical treatment was significantly better than that of conservative treatment in male patients （P0.05）