高血压脑出血外科治疗近期预后多因素剖析.docVIP

高血压脑出血外科治疗近期预后多因素剖析 　　[摘要] 目的 对高血压脑出血外科治疗近期预后的影响因素进行分析探讨。方法 整群选取该院2013年1月―2015年1月收治的160例高血压脑出血患者作为研究对象，所有患者行微创血肿清除术，观察治疗效果，并对预后影响因素进行分析。 结果 预后良组同预后差组患者的血肿形态、意识形态分级、幕上血肿量、术后并发症、术后是否复发、GCS及术前平均动脉压（MAP）差异具有统计学意义（P0.05）。幕上血肿量及术前MAP同预后情况呈负相关关系，术前意识状态分析同预后呈负相关关系，术前GCS值同预后呈正相关关系，P0.05。出血部位、术前意识状态分级及术后并发症发生情况差异具有统计学意义（P0.05），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。 　　[关键词] 高血压脑出血；外科治疗；预后 　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742（2016）01（a）-0007-03 　　Analysis of the Influencing Factors of the Recent Prognosis in Hypertension Cerebral Hemorrhage with Surgical Treatment 　　WANG Mao-kai， LIU Jing-ping， CHEN Huan-lei 　　Department of Neurosurgery， Qingdao Jiaozhou Central Hospital， Qingdao， Shandong Province， 266300 China 　　[Abstract] Objective To analyze and study the influencing factors of the recent prognosis in hypertension cerebral hemorrhage with surgical treatment. Methods 160 cases with hypertension cerebral hemorrhage admitted in our hospital from January 2013 to January 2015 were selected as the subjects. All the patients were treated by the mini-invasive evacuation of hematoma. The clinical effect was observed. And the influencing factors of prognosis were analyzed. Results The differences in the hematoma shape， ideological grading， supratentorial hematoma volume， postoperative complications， postoperative recurrence rate， GCS， and preoperative MAP between the good prognosis group and the poor prognosis group were statistically significant（P0.05）. Supratentorial hematoma volume， preoperative MAP， and preoperative ideological grading were negatively correlated with the prognosis while the preoperative GCS was positively correlated with the prognosis， P0.05. The difference between bleeding part， preoperative ideological grading and postoperative complications had statistical significance（P0.05）； the postoperative complications were the most dangerous factors. Conclusion The bleeding part， preoperative ideological