激光杂志
激光雜誌
격광잡지
LASER JOURNAL
2014年
3期
70-71
,共2页
肖华%蒋宽荣%程远%陈维福
肖華%蔣寬榮%程遠%陳維福
초화%장관영%정원%진유복
脑内微出血%血肿%高血压脑出血
腦內微齣血%血腫%高血壓腦齣血
뇌내미출혈%혈종%고혈압뇌출혈
CMBs%Hematoma%Hypertensive Cerebral Hemorrhage
目的：探讨脑内微出血对自发性脑出血患者血肿进展的预测价值。方法：选取2010年7月至2013年7月我院收治的自发性脑出血患者110例，入院及72小时内复查CT和MR ，根据有无血肿扩大将患者分为血肿扩大组和非血肿扩大组，并比较两组患者年龄、性别、血压，血肿量，血肿形态，有无糖尿病以及脑内微出血率进行比较，并通过回归分析确定影响脑出血患者血肿扩大的危险因素。结果：血肿扩大组与非血肿扩大组的性别比例、糖尿病比例、吸烟比例、心脏病比例、入院时舒张压和收缩压和72h后的舒张压和收缩压的差异均无统计学意义(P＞0.05)，而血肿扩大组患者入院时的血肿体积、形态和脑内微出血的比例要明显高于非血肿扩大组的患者，且差异具有统计学意义(P＜0.05)；Logistic回归模型分析，影响自发性脑出血血肿扩大的危险因素有脑内微出血、血肿体积和血肿形态。结论：自发性脑出血患者脑内微出血的存在和多少可作为血肿扩大的风险指标。
目的：探討腦內微齣血對自髮性腦齣血患者血腫進展的預測價值。方法：選取2010年7月至2013年7月我院收治的自髮性腦齣血患者110例，入院及72小時內複查CT和MR ，根據有無血腫擴大將患者分為血腫擴大組和非血腫擴大組，併比較兩組患者年齡、性彆、血壓，血腫量，血腫形態，有無糖尿病以及腦內微齣血率進行比較，併通過迴歸分析確定影響腦齣血患者血腫擴大的危險因素。結果：血腫擴大組與非血腫擴大組的性彆比例、糖尿病比例、吸煙比例、心髒病比例、入院時舒張壓和收縮壓和72h後的舒張壓和收縮壓的差異均無統計學意義(P＞0.05)，而血腫擴大組患者入院時的血腫體積、形態和腦內微齣血的比例要明顯高于非血腫擴大組的患者，且差異具有統計學意義(P＜0.05)；Logistic迴歸模型分析，影響自髮性腦齣血血腫擴大的危險因素有腦內微齣血、血腫體積和血腫形態。結論：自髮性腦齣血患者腦內微齣血的存在和多少可作為血腫擴大的風險指標。
목적：탐토뇌내미출혈대자발성뇌출혈환자혈종진전적예측개치。방법：선취2010년7월지2013년7월아원수치적자발성뇌출혈환자110례，입원급72소시내복사CT화MR ，근거유무혈종확대장환자분위혈종확대조화비혈종확대조，병비교량조환자년령、성별、혈압，혈종량，혈종형태，유무당뇨병이급뇌내미출혈솔진행비교，병통과회귀분석학정영향뇌출혈환자혈종확대적위험인소。결과：혈종확대조여비혈종확대조적성별비례、당뇨병비례、흡연비례、심장병비례、입원시서장압화수축압화72h후적서장압화수축압적차이균무통계학의의(P＞0.05)，이혈종확대조환자입원시적혈종체적、형태화뇌내미출혈적비례요명현고우비혈종확대조적환자，차차이구유통계학의의(P＜0.05)；Logistic회귀모형분석，영향자발성뇌출혈혈종확대적위험인소유뇌내미출혈、혈종체적화혈종형태。결론：자발성뇌출혈환자뇌내미출혈적존재화다소가작위혈종확대적풍험지표。
ObjectiveTo investigate the predictive value of cerebral microbleeds on hematoma in the patients with hypertensive ce-rebral hemorrhage. Method110 patients from July 2011 to July 2013 in our hospital were selected and the hematoma volume was de-tected by CT and MRI in 30min on admission, and blood pressure, disease history and genderdistribution were recorded.The patients were divided intohematoma expansion group and hematoma non- expansion groups according CT and MRI under review after 72h, the proportion of cerebral microbleeds was compared in two groups, as well as determined by regression analysis of patients with hy-pertensive cerebral hemorrhage expanding hematoma could predict risk factors. ResultsGender ratio, history of stroke ratio, the propor-tion of diabetes, smoking rates, the proportion of heart disease, diastolic and systolic blood pressure on admission and 72h diastolic and systolic blood pressure in two groups were not significantly different (P>0.05). The volume of admission hematoma and the ratio of CMBs in hematoma expansion group were significantly higher than the patients in hematoma non-expansion groups, and the differ-ences were statistically significant (P<0.05). Logistic multiple regressionshowed that CMBs was theonlyrisk factor which could enter regression equation(OR=2.317, P<0.001). Conclusion CMBs patients with Hypertensive Cerebral Hemorrhage may predictthehigh risk of hematoma expansion.
