动脉瘤性蛛网膜下腔出血合并脑室出血患者早期神经功能恶化的影响因素

发布时间：2018-05-08 09:58

本文选题：动脉瘤破裂 + 动脉瘤性蛛网膜下腔出血　；参考：《山东医药》2017年04期

【摘要】：目的探讨动脉瘤性蛛网膜下腔出血(a SAH)合并脑室出血患者发生早期神经功能恶化(END)的影响因素。方法以73例a SAH合并脑室出血患者为研究对象,其中入院24~48 h发生END(分别于入院30 min内及24~48 h行神经功能评估判定)27例,未发生END 46例。收集发生与未发生END者的性别、年龄、血压、合并症、蛛网膜下腔出血(SAH)总量、脑室出血体积等相关资料,分析END发生的影响因素及脑室出血体积与SAH总量的关系。结果发生END者年龄、合并糖尿病比例、SAH总量、脑室出血体积均高于非END者(P0.05或0.01);Logistic回归分析结果显示,SAH总量、脑室出血体积是发生END的独立影响因素(P均0.05);发生END者脑室出血体积与SAH总量呈正相关(r=0.82,P0.01)。结论 SAH总量、脑室出血体积是a SAH合并脑室出血患者发生早期END的影响因素。
[Abstract]:Objective to investigate the influencing factors of early neurological deterioration in patients with aneurysm subarachnoid hemorrhage (SAH) and ventricular hemorrhage. Methods 73 patients with a SAH complicated with intraventricular hemorrhage were studied. Among them, endodontic events occurred at 24 h after admission (27 cases were assessed by nerve function assessment within 30 min and 24 h after 48 h of admission, and 46 cases did not develop END). The data of sex, age, blood pressure, complications, subarachnoid hemorrhage (SAH) and ventricular hemorrhage volume in patients with or without END were collected, and the factors affecting the occurrence of END and the relationship between the volume of ventricular hemorrhage and the total volume of SAH were analyzed. Results the age of the patients with END, the proportion of diabetes mellitus and the volume of intraventricular hemorrhage were higher than those of the patients without END (P0.05 or 0.01). The results of logistic regression analysis showed that there was no significant difference between the two groups. Ventricular hemorrhage volume was an independent factor influencing the occurrence of END (P < 0.05), and the volume of ventricular hemorrhage was positively correlated with the total volume of SAH in patients with END. Conclusion the total amount of SAH and the volume of intraventricular hemorrhage are the influencing factors of early END in patients with a SAH complicated with intraventricular hemorrhage.
【作者单位】：三峡大学人民医院;
【分类号】：R743.3

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