摘要
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t SAH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t SAH患者SCVS发生风险显著增加。
Objective To investigate relevant risk factors for symptomatic cerebral vasospasm in patients with traumatic subarachnoid hemorrhage. Methods 46 t SAH 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 t SAH. Conclusion SCVS risk increased significantly in t SAH patients with advanced age,diabetes mellitus and hypertension.
出处
《中国医药科学》
2015年第16期153-155,共3页
China Medicine And Pharmacy
关键词
创伤性蛛网膜下腔出血
脑动脉痉挛
危险因素
Traumatic subarachnoid hemorrhage
Symptomatic cerebral vasospasm
Risk factors