中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
23期
23-23,25
,共2页
介入治疗%颅内动脉瘤%动脉瘤破裂出血%预后因素
介入治療%顱內動脈瘤%動脈瘤破裂齣血%預後因素
개입치료%로내동맥류%동맥류파렬출혈%예후인소
Interventional therapy%Intracranial aneurysms%Aneurysm rupture hemorrhage%Prognostic factor
目的：探讨介入治疗颅内动脉瘤破裂出血的预后影响因素，以提高患者临床疗效和生存质量。方法：收治颅内动脉瘤破裂出血患者60例，均采用气管插管全身麻醉，并行介入治疗，观察治疗效果。结果：预后良好48例(80.0%)，预后不良12例(20.0%)。年龄和性别之间比较差异无统计学意义(P＞0.05)，然而 Hunt-Tess 分级越高预后越差，瘤体越大预后越差，并发高血压患者的预后与无高血压患者比较预后差。结论：介入治疗颅内动脉瘤破裂出血的预后不良因素主要有Hunt-Tess分级、瘤体大小、动脉瘤颈体比值以及并发高血压。
目的：探討介入治療顱內動脈瘤破裂齣血的預後影響因素，以提高患者臨床療效和生存質量。方法：收治顱內動脈瘤破裂齣血患者60例，均採用氣管插管全身痳醉，併行介入治療，觀察治療效果。結果：預後良好48例(80.0%)，預後不良12例(20.0%)。年齡和性彆之間比較差異無統計學意義(P＞0.05)，然而 Hunt-Tess 分級越高預後越差，瘤體越大預後越差，併髮高血壓患者的預後與無高血壓患者比較預後差。結論：介入治療顱內動脈瘤破裂齣血的預後不良因素主要有Hunt-Tess分級、瘤體大小、動脈瘤頸體比值以及併髮高血壓。
목적：탐토개입치료로내동맥류파렬출혈적예후영향인소，이제고환자림상료효화생존질량。방법：수치로내동맥류파렬출혈환자60례，균채용기관삽관전신마취，병행개입치료，관찰치료효과。결과：예후량호48례(80.0%)，예후불량12례(20.0%)。년령화성별지간비교차이무통계학의의(P＞0.05)，연이 Hunt-Tess 분급월고예후월차，류체월대예후월차，병발고혈압환자적예후여무고혈압환자비교예후차。결론：개입치료로내동맥류파렬출혈적예후불량인소주요유Hunt-Tess분급、류체대소、동맥류경체비치이급병발고혈압。
Objective:To explore the prognostic factors of interventional therapy for intracranial aneurysm rupture hemorrhage,to improve the clinical effect and quality of life of patients.Methods:60 patient with intracranial aneurysm rupture hemorrhage were selected.All patients were given tracheal intubation general anesthesia and interventional therapy.We observed the therapeutic effect.Results:The prognosis was good in 48 cases(80%) and the prognosis was poor in 12 cases(20%).There was no statistical significance between age and gender(P>0.05),however,the higher the Hunt-Tess grade,the worse the prognosis,the bigger the tumor,the worse the prognosis,compared with patients without hypertension,the prognosis in patients with hypertension was poor. Conclusion:Poor prognostic factors of interventional therapy for intracranial aneurysm rupture hemorrhage were mainly Hunt-Tess grade,tumor size,aneurysm neck and body ratio and complicated with hypertension.
