摘要
目的探讨缺血性烟雾病搭桥术后颅内出血的相关危险因素。方法回顾性分析79例烟雾病搭桥手术患者的临床资料,应用多因素Logistic回归分析探讨术后颅内出血的相关危险因素。结果 79例患者中随访期间10例(12.6%)发生颅内出血。单因素分析显示,年龄、高血压和术后应用阿司匹林与患者搭桥术后颅内出血有关(P<0.05)。多因素分析显示,高血压(OR=6.224,P=0.042),术后应用阿司匹林(OR=7.992,P=0.036)是烟雾病搭桥术后颅内出血的独立危险因素。结论患有高血压及术后服用阿司匹林是缺血性烟雾病搭桥术后颅内出血的独立危险因素。
Objective To investigate the risk factors of intracranial hemorrhage after bypass surgery in patients with ischemic moyamoya disease. Methods The clinical data of seventy nine patients with ischemic moyamoya disease treated by bypass surgery were analyzed retrospectively. The related risk factors of intracranial hemorrhage after operation were analyzed by multiple logistic regression analysis. Results There were 10 cases （ 12. 6% ） of intracranial hemorrhage during the follow - up period in seventy nine patients. Univariate analysis showed that age, hypertension and postoperative use of aspirin were associated with intracranial hemorrhage after bypass surgery （ P 〈 0. 05 ）. Multivariate analysis showed that patients with hypertension （ OR = 6. 224, P = 0. 042） and postoperative application of aspirin （ OR = 7. 992, P = 0. 036） were the independent risk factors of intracranial hemorrhage after bypass surgery. Conclusion Hypertension and postoperative application of aspirin were the independ- ent risk factors of intracranial hemorrhage after bypass surgery of ischemic moyamoya disease.
出处
《河南医学研究》
CAS
2017年第24期4434-4436,共3页
Henan Medical Research
关键词
脑底异常血管网病
颅内出血
危险因素
ischemic moyamoya disease
intracranial hemorrhage
risk factors
