ICU住院治疗的重症脑出血患者发病原因研究.docVIP

ICU住院治疗的重症脑出血患者发病原因研究 杨进军 重庆市第九人民医院重症医学科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探究ICU住院治疗的重症脑出血患者的发病原因。方法:选取2014年5月2017年5月期间我院收治的120例ICU住院治疗的重症脑出血患者者为研究对象。将本次研究的所有患者按照年龄分为青年组 (年龄≤44岁) 、中年组 (4559岁) 和老年组 (年龄≥60岁) 三组, 其中包括青年组患者20例, 中年组患者45例, 老年组患者55例。通过收集和分析所有患者的临床资料, 观察并比较三组患者的脑出血部位和发病原因。结果:三组患者脑出血部位相比, 中年组基底节区出血的患者比例高达62.2%, 老年组基底节区出血的患者比例高达61.8%, 明显高于青年组患者50.0%, 差异具有统计学意义。而三组患者的脑叶、脑干、小脑、脑室和多部位出血比例基本一致, 差异无统计学意义。三组患者脑出血病因相比, 青年组患者高血压仅占45.0%, 中年组高血压患者高达71.1%, 高血压患者高达74.5%, 中年组和老年组明显高于青年组, 差异具有统计学意义。而青年组血管结构病变高达20%, 远高于其他两组, 差异具有统计学意义, 其他病因相比, 三组患者差异无统计学意义。多元Logistic回归分析的结果显示, 年龄、性别、高血压、血管结构病变是脑出血发病的独立影响因素。结论:重症脑出血患者的发病原因存在明显的年龄差异, 青年组患者的发病原因主要是血管结构病变和高血压, 中年组和老年组的发病原因主要是高血压, 对于脑出血的防治工作应该从青年时期就进行重视。 关键词： ICU; 重症脑出血; 发病原因; 作者简介：杨进军, E-mail:yjjxy2006@163.com 收稿日期：2017-05-06 Study on the etiology of patients with severe cerebral hemorrhage in ICU Yang Jin-jun Chongqing Ninth Peoples Hospital, Department of Critical Care Medicine; Abstract： Objective To explore the etiology of patients with severe cerebral hemorrhage in intensive care unit (ICU) . Methods We selected 120 patients with severe cerebral hemorrhage hospitalized in our hospital from may 2014 to may 2017 as the research subjects. All the patients in this study were divided into three groups according to age (age≤44 years) , middle age group (45 ~ 59 years) and elderly group (age≥60 years) , including 20 young patients, 45 middle-aged patients and 55 elderly patients. By collecting and analyzing the clinical data of all patients, the location and etiology of intracerebral hemorrhage in three groups were observed and compared. Results The proportion of basal ganglia hemorrhage in the middle-aged group was up to 62.2 % in the three groups compared with that in the old group, the proportion of the patients with basal ganglia hemorrhage was up to 61.8 %, which was significantly higher than that in the young group. The proportion of brain lobe, brain stem, cerebe