摘要
目的:研究分析蛛网膜下腔出血头痛的相关因数.方法:选取2013-04/2014-01我院的96例蛛网膜下腔出血头痛患者作为研究对象,对其临床资料进行回顾性分析,将其分为两组,其中观察组为52例老年SAH患者,对照组为44例非老年性SAH患者,分析蛛网膜下腔出血头痛患者出血量、颅压、脑脊液改变与头痛程度的关系.结果:观察组患者中等量出血及中等量以上出血者发生头痛程度与少量出血者、CT阴性患者比较无明显差异(P>0.05);对照组患者中CT阴性、少量出血者和中等量以上出血者发生头痛程度比较存在显著差异(P<0.01);观察组的头痛程度比照组明显轻(P<0.01).脑脊液为血色或粉红色时,对照组的头痛程度较重(P<0.01),观察组脑脊液为新鲜出血时头痛明显(P<0.01),观察组头痛程度较对照组轻(P<0.01).结论:CSF血性变是造成蛛网膜下腔的炎性反应发生的原因之一,老年人在CSF血性变程度较轻,头痛程度也较非老年人轻.
AIM：To study and analyze the related factor of sub-arachnoid hemorrhage headache.METHODS：Ninety six pa-tients in our hospital,from April 2013 to January 2014,with sub-arachnoid hemorrhage were selected and their clinical data were analyzed retrospectively. All patients were divided into two groups,52 patients of elderly patients with SAH in the observation group and 44 patients of senile patients with SAH in the control group.The relationship of subarachnoid hemorrhage,cranial pres-sure,changes in cerebrospinal fluid and the degree of headache were analyzed.RESULTS：The comparison of the headache de-gree between patients with moderate bleeding/more moderate de-gree in the observation group and patients with small amount of bleeding/CT-negative patients was not significant different （P〉0.05）;the comparison of the headache degree among CT-negative patients in the control group,a small amount of bleeding and moderate bleeding were significantly different （P 〈0.01 ）;the degree of headache in groups of observation group was significantly lighter （P 〈0.01 ）.Cerebrospinal fluid for color or pink,heavy degree of headache in the control group were significantly much sever （P 〈0.05）,cerebrospinal fluid for fresh hemorrhage head-ache observation group was significantly lighter （P 〈0.05 ）,the observation group headache than those in control group was signif-icantly lighter （P 〈0.05）.CONCLUSION：CSF bloody change is one of the causes of the occurrence of subarachnoid inflammato-ry response,the elderly become bloody lesser extent in the CSF, the degree of headache is lighter than older people.It is worth further promotion in the clinical practice.
出处
《转化医学电子杂志》
2015年第3期69-70,共2页
E-Journal of Translational Medicine
关键词
蛛网膜下腔
头痛
相关因数
subarachnoid space
have a headache
the relevant factor
