中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
16期
153-155
,共3页
黄校权%杨清荣%龚裕兴%王凤娟
黃校權%楊清榮%龔裕興%王鳳娟
황교권%양청영%공유흥%왕봉연
创伤性蛛网膜下腔出血%脑动脉痉挛%危险因素
創傷性蛛網膜下腔齣血%腦動脈痙攣%危險因素
창상성주망막하강출혈%뇌동맥경련%위험인소
Traumatic subarachnoid hemorrhage%Symptomatic cerebral vasospasm%Risk factors
目的：探讨创伤性蛛网膜下腔出血后症状性脑血管痉挛的危险因素。方法选择46例创伤性蛛网膜下腔出血患者，以是否发生症状性脑血管痉挛将患者分为SCVS组（16例）和非SCVS组（30例），比较两组基线资料，并对相关因素进行多因素COX分析。结果SCVS组患者与非SCVS组经多因素COX分析，年龄（RR=1.056，95%CI：1.002～1.113，P=0.042）、糖尿病（RR=5.533，95%CI：1.031～29.702，P=0.046）及高血压病史（RR=6.957，95%CI：1.506～32.133，P=0.013)是tSAH后发生SCVS的独立危险因素。结论年龄大，糖尿病及高血压病史tSAH患者SCVS发生风险显著增加。
目的：探討創傷性蛛網膜下腔齣血後癥狀性腦血管痙攣的危險因素。方法選擇46例創傷性蛛網膜下腔齣血患者，以是否髮生癥狀性腦血管痙攣將患者分為SCVS組（16例）和非SCVS組（30例），比較兩組基線資料，併對相關因素進行多因素COX分析。結果SCVS組患者與非SCVS組經多因素COX分析，年齡（RR=1.056，95%CI：1.002～1.113，P=0.042）、糖尿病（RR=5.533，95%CI：1.031～29.702，P=0.046）及高血壓病史（RR=6.957，95%CI：1.506～32.133，P=0.013)是tSAH後髮生SCVS的獨立危險因素。結論年齡大，糖尿病及高血壓病史tSAH患者SCVS髮生風險顯著增加。
목적：탐토창상성주망막하강출혈후증상성뇌혈관경련적위험인소。방법선택46례창상성주망막하강출혈환자，이시부발생증상성뇌혈관경련장환자분위SCVS조（16례）화비SCVS조（30례），비교량조기선자료，병대상관인소진행다인소COX분석。결과SCVS조환자여비SCVS조경다인소COX분석，년령（RR=1.056，95%CI：1.002～1.113，P=0.042）、당뇨병（RR=5.533，95%CI：1.031～29.702，P=0.046）급고혈압병사（RR=6.957，95%CI：1.506～32.133，P=0.013)시tSAH후발생SCVS적독립위험인소。결론년령대，당뇨병급고혈압병사tSAH환자SCVS발생풍험현저증가。
Objective To investigate relevant risk factors for symptomatic cerebral vasospasm in patients with traumatic subarachnoid hemorrhage.Methods 46 tSAH patients were selected and divided into SCVS group(16 patients)and non-SCVS group(30 patients).Baseline data were compared between the two groups.The relevant risk factors for SCVS were analyzed by COX multivariable analysis.Results COX multivariable analysis showed that,the ages(RR=1.056,95%CI:1.002~1.113,P=0.042),history of diabetes(RR=5.533,95%CI:1.031~29.702,P=0.046) and hypertension(RR=6.957,95%CI:1.506~32.133,P=0.013)were independent risk factors for SCVS after tSAH.Conclusion SCVS risk increased significantly in tSAH patients with advanced age,diabetes mellitus and hypertension.
