摘要
目的探讨高龄高血压脑出血术后再出血的危险因素及治疗方案。方法回顾性分析40例高龄高血压脑出血术后再出血患者(观察组)和同期高龄高血压脑出血术后未再出血患者40例(对照组)的临床资料。根据中国卒中量表(CSS)、日常生活能力(ADL)评分和术后血压、影响凝血病史因素等,研究高龄高血压脑出血术后再出血的危险因素。结果治疗后,两组患者的CSS和ADL评分均低于治疗前(P<0.05),观察组的ADL评分高于对照组(P<0.01);观察组脑出血术后的高舒张压状态、血压控制不稳、术中止血困难、血肿形态不规则、影响血凝相关病史比对照组存在率高(P<0.05或<0.01)。结论导致高龄高血压脑出血术后再出血的危险因素较多,及时有效的治疗可以减少再出血发生。
Objective To investigate postoperative rehemorrhage risk and therapy for hylbertensive intracerebral hemorrhage in elderly patients. Methods We retrospectively analyzed the data of hypertensive intracerebral rehemorrhage postoperatively in the elderly（ experimental group, n =40）and those of non-postoperative rehemorrhage in elderly patients with hypertensive intracerebral hemorrhage at the same period （control group, n = 40 ）, discovering rehemorrhage risk postoperatively according to assessment of Chinese Stroke Scale （CSS）, and Ability of Daily Living（ADL） as well as the rehemorrhage risks, a sustained high diastolic blood pressure, instability of blood pressure and etc. Results After treatment, CSS and ADL scores of the two groups lowed significantly （ P 〉 0.05 ）, but ADL score of experimental group was lower than the control as compared to the preoperative （ P 〈 0.05 ）. A sustained high diastolic blood pressure, instability of blood pressure, difficulty in stopping bleeding intraoperatively, hematoma size and the factors affecting blood coagulation in experimental group were worse than those in control group（ P 〈 0.05）. Conclusion There are many postopera- tive rehemorrhage risks in elderly patients with hypertensive intracerebral hemorrhage. Early symptomatic treatment can reduce the post-operative rehemorrhage.
出处
《白求恩军医学院学报》
2011年第6期413-415,共3页
Journal of Bethune Military Medical College
关键词
高血压
脑出血
危险因素
Hypertension
Intracranial hemorrhage
Risk
