摘要
目的探索慢性硬膜下血肿术后复发危险因素。方法选取2012年1月—2016年12月我院收治的120例慢性硬膜下血肿患者作为研究对象。所有患者均进行钻孔血肿清除术,观察神经功能恢复情况、术后复发率、术后并发症等。结果性别、年龄、GCS评分、术后引流、外伤史、血小板、高血压等对复发率的影响对比,差异均无统计学意义(P>0.05)。有血凝块或絮状物组对复发率的影响高于无血凝块或絮状物组,差异有统计学意义(P<0.05)。以糖尿病和血凝块或絮状物作为自变量,进行多因素相关分析,分析发现,糖尿病和血凝块或絮状物对是否复发均有影响,差异有统计学意义(P<0.05)。结论冲洗液中有血凝及絮状物是术后复发重要危险因素,糖尿病虽在单因素分析中无意义,但日常生活中也必须进行密切监测,减少术后血肿复发可能性。
Objective To explore the risk factors of chronic subdural hematoma recurrence. Methods From January 2012 to December 2016 in our hospital, 120 cases of chronic subdural hematoma patients, all patients were performed for removal of drilling hematoma, to observe neural function recovery, postoperative recurrence, postoperative complications, etc. Results Gender, age, GCS score, postoperative drainage, trauma history, platelets, such as high blood pressure effect on the recurrence rate had no statistical significance （P〉0.05）. Having a blood clot or floccule group＇s influence on the recurrence rate is higher than without a blood clot or floccule group, the difference was statistically significant （P〈0.05）. With diabetes and blood clots or floc as independent variables, analyze many factors related, the analysis found that diabetes and blood clots or floccule have influence on whether recurrence, the difference was statistically significant （P〈0.05）. Conclusion Blood clot rinses and floc are important risk factors for postoperative recurrence of diabetes is meaningless in the single factor analysis, but also must be closely monitored in daily life, reduce the postoperative recurrence of hematoma possibility.
出处
《中国继续医学教育》
2017年第11期102-103,共2页
China Continuing Medical Education
关键词
慢性硬膜下血肿
复发
危险因素
chronic subdural hematoma
recurrence
risk factors
