摘要
目的 探讨大脑后动脉瘤出血患者术后神经系统并发症的危险因素及防治策略。方法 回顾性选择2019年2月至2021年2月在鹤壁市人民医院治疗的大脑后动脉动脉瘤出血患者325例为对象,根据患者术后是否发生神经系统并发症分为发生组(N=95例)和非发生组(N=230例)。查阅两组临床资料,包括:性别、年龄、心血管手术史、瘤体直径、白细胞计数等,并完成单因素和多因素Logistic回归分析;针对可能的危险因素采取相应的防治策略。结果 325例大脑后动脉动脉瘤出血患者神经系统并发症95例,发生率为29.23%。神经系统并发症排在前2位的分别为:脑血管痉挛和颅内感染,分别占46.32%和20.00%;单因素及多因素Logistic分析结果提示,术前合并症、心血管史、瘤体直径≥7 mm、术前脑神经系统症状、白细胞计数> 15(×10^(9)/L)及血肌酐≥115μmol/L等为术后神经系统并发症发生的独立危险因素,差异有统计学意义(P <0.05)。结论 大脑后动脉瘤出血患者术后神经系统并发症发生率较高,且危险因素相对较多,应根据危险因素采取相应的防治策略,降低术后神经系统并发症发生率。
Objective To investigate the risk factors and prevention strategies of postoperative neurological complications in patients with posterior cerebral aneurysm hemorrhage.Methods A total of 325 patients with posterior cerebral artery aneurysm hemorrhage who were treated in Hebi People's Hospital from February 2019 to February 2021 were selected retrospectively.According to whether the patients had neurological complications after surgery,they were divided into incidence group(N=95 cases)and non-incidence group(N=230 cases).The clinical data of the two groups were reviewed,including gender,age,history of cardiovascular surgery,tumor diameter,white blood cell count,etc.,and univariate and multivariate Logistic regression analysis was completed;Corresponding prevention and control strategies shall be adopted for possible risk factors.Results 95 cases(29.23%)had neurological complications in 325 patients with posterior cerebral artery aneurysm hemorrhage.The first two neurological complications were cerebral vasospasm and intracranial infection,accounting for 46.32%and 20.00%respectively;Univariate and multivariate Logistic analysis showed that preoperative complications,cardiovascular history,tumor diameter≥7 mm,preoperative symptoms of the brain nervous system,white blood cell count>15(×10^(9)/L)and blood creatinine≥115μmol/L was an independent risk factor for postoperative neurological complications,and the difference was statistically significant(P<0.05).Conclusion The incidence of postoperative neurological complications in patients with posterior cerebral aneurysm hemorrhage is high,and there are relatively many risk factors.Corresponding prevention and treatment strategies should be taken according to the risk factors to reduce the incidence of postoperative neurological complications.
作者
张乐
ZHANG Le(Department of Neurosurgery,Hebi People's Hospital,Hebi Henan 458030,China)
出处
《临床研究》
2022年第12期1-4,共4页
Clinical Research
关键词
大脑后动脉
动脉瘤
出血
神经系统并发症
危险因素
防治策略
posterior cerebral artery
aneurysm
bleeding
neurological complications
risk factors
prevention and control strategy
