CAJ | 학술논문

目的：通过回顾性病例对照研究分析外伤性脑出血术后非手术区再出血的危险因素。方法：收集外伤性脑出血患者240例，根据是否发生术后非手术区再出血分为再出血组57例和未出血组183例。对2组患者的临床资料进行统计学分析。结果：2组单因素资料比较，前白蛋白、Glasgow 昏迷评分（GCS）、血肿量、白细胞计数、血糖、发病到手术间隔时间及中线移位差异有统计学意义（P<0.05）。多因素 Logistic 分析显示 GCS、血糖及发病到手术间隔时间是非手术区再出血的独立危险因素，ROC 曲线分析显示三者在一定程度上可预测外伤性脑出血术后非手术区再出血。结论：外伤性脑出血患者 GCS 评分低、血糖水平高及发病到手术间隔时间短，术后合并非手术区再出血的风险大。
목적：통과회고성병례대조연구분석외상성뇌출혈술후비수술구재출혈적위험인소。방법：수집외상성뇌출혈환자240례，근거시부발생술후비수술구재출혈분위재출혈조57례화미출혈조183례。대2조환자적림상자료진행통계학분석。결과：2조단인소자료비교，전백단백、Glasgow 혼미평분（GCS）、혈종량、백세포계수、혈당、발병도수술간격시간급중선이위차이유통계학의의（P<0.05）。다인소 Logistic 분석현시 GCS、혈당급발병도수술간격시간시비수술구재출혈적독립위험인소，ROC 곡선분석현시삼자재일정정도상가예측외상성뇌출혈술후비수술구재출혈。결론：외상성뇌출혈환자 GCS 평분저、혈당수평고급발병도수술간격시간단，술후합병비수술구재출혈적풍험대。
Objective: To retrospectively analyze the risk factors re-hemorrhageafter operatiion in Non-operation Area in patients with traumatic intracerebral hemorrhage. Methods: Two hundred and forty patients with traumatic intracerebral hemorrhage were enrolled. Patients were divided into hemorrhage group (n=57) and no hemorrhage group (n=183) according to occurence of hemorrhage in the non-operation area after operation. All the clinical datas were analyzed. Results: The univariate analysis indicated that pre-albumin (PAB), Glasgow Coma Scale (GCS), volume of intracranial hematoma (VOL), white blood cell counts, glucose (GLU), time from injure to operation (TO) and midline shift were significantly different (P<0.05) between the two groups. The multivariate binary Logistic regression analysis showed that GCS, GLU and TO were the independent risk factors for the re-bleeding after operatiion in non-operation area in patients with traumatic intracerebral hemorrhage, and the ROC curve showed that the three factors had a predictive value. Conclusion: Traumatic intracerebral hemorrhagic patients with low GCS, high level of GLU or early operation have a higher risk for rebleeding after operation in non-operative area.