中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
12期
1811-1813
,共3页
高血压%脑出血%微创治疗%再出血
高血壓%腦齣血%微創治療%再齣血
고혈압%뇌출혈%미창치료%재출혈
Hypertension%Intracerebral hemorrhage%Minimally invasive surgery%Rebleeding
目的 探讨影响高血压脑出血微创术后再出血的因素及防治策略.方法 回顾性分析213例使用微创穿刺血肿清除技术治疗的高血压脑出血病例,对8个可能影响术后再出血的因素进行统计,使用Logistic回归分析选出影响术后再出血的危险因素.结果 27例出现术后再出血,血肿形状(β=2.236,P=0.002)、入院时收缩压(β=1.877,P=0.001)、手术时机(β=-1.589,P=0.004)、术中抽吸血肿量(β=1.280,P=0.010)是影响微创术后再出血的主要因素.结论 重视血肿形状、入院时收缩压、手术时机、术中抽吸血肿量对微创术后再出血的影响,针对不同患者作个性化的防治策略,有助于减少高血压脑出血微创术后再出血的发生率.
目的 探討影響高血壓腦齣血微創術後再齣血的因素及防治策略.方法 迴顧性分析213例使用微創穿刺血腫清除技術治療的高血壓腦齣血病例,對8箇可能影響術後再齣血的因素進行統計,使用Logistic迴歸分析選齣影響術後再齣血的危險因素.結果 27例齣現術後再齣血,血腫形狀(β=2.236,P=0.002)、入院時收縮壓(β=1.877,P=0.001)、手術時機(β=-1.589,P=0.004)、術中抽吸血腫量(β=1.280,P=0.010)是影響微創術後再齣血的主要因素.結論 重視血腫形狀、入院時收縮壓、手術時機、術中抽吸血腫量對微創術後再齣血的影響,針對不同患者作箇性化的防治策略,有助于減少高血壓腦齣血微創術後再齣血的髮生率.
목적 탐토영향고혈압뇌출혈미창술후재출혈적인소급방치책략.방법 회고성분석213례사용미창천자혈종청제기술치료적고혈압뇌출혈병례,대8개가능영향술후재출혈적인소진행통계,사용Logistic회귀분석선출영향술후재출혈적위험인소.결과 27례출현술후재출혈,혈종형상(β=2.236,P=0.002)、입원시수축압(β=1.877,P=0.001)、수술시궤(β=-1.589,P=0.004)、술중추흡혈종량(β=1.280,P=0.010)시영향미창술후재출혈적주요인소.결론 중시혈종형상、입원시수축압、수술시궤、술중추흡혈종량대미창술후재출혈적영향,침대불동환자작개성화적방치책략,유조우감소고혈압뇌출혈미창술후재출혈적발생솔.
Objective To investigate the clinical factors and therapeutic tactic for rebleeding of hypertensive hemorrhage after minimally invasive craniopuncture.Methods Clinical data of 213 cases were reviewed retrospectively.8 possible factors were gathered to select the high-risk ones by multiple-factor Logistic regression analysis.Results 27 cases bled after minimally invasive craniopuncture therapy.By Logistic regression analysis,we found 4 high-risk factors of recurrence hemorrhage,including hematoma shape (β =2.236,P =0.002),systolic blood pressure on admission (β =1.877,P =0.001),operation time (β =-1.589,P =0.004) and hematoma clearance (β =1.280,P =0.010).Conclusion Paying more attention to the 4 factors and treating each patient by individual therapeutic tactic according to the 4 factors will help to decrease the incidence of bleeding after minimally invasive craniopuncture.
