高血压脑出血术后疗效与手术适应证的关系

The Expressiun of Operation Indication and Hypertensive Cerebral Hemorrhage Postoperotive Curative Effect

目的回顾性分析我院在2002-05～2007-05间，采用手术治疗的108例高血压脑出血病人的临床经验。以评估诸多因素对疗效的影响。方法对患者的年龄、血压、意识水平、瞳孔大小、出血部位、出血量、中线移位、肢体活动、出血破入脑室情况以及出血至手术时间等因素分析，以确定对预后有价值的变量因素。结果在单因素分析的基础上，通过多变量Logistic回归方法分析表明：意识水平、瞳孔大小、出血部位、出血量及出血破入脑室情况等因素，对预后最有价值。本组病例存活76例，死亡32例，死亡率29．6％。结论掌握手术适应证，选择适当的手术方式是提高高血压脑出血治疗效果和降低死亡率的关键。

Objective The clinical experience was analyzed in 108 cases with hypertensive cerebral hemorrhage who underwent surgery in our hospital from May, 2002 to May, 2007 to evaluate the effects of multiple factors. Methods Multiple factors were analyzed including age, blood pressure, consciousness, size of pupil, site and amount of bleeding shift of media, activity of limp, bleeding ulcerating into ventricle of brain and span from bleeding to operation to fmd the valuable variable affecting the prognosis. Results On the basis of single factor analysis, we can see through multiple variable Logistic regression method that consciousness. Size of pupil, site and amount of bleeding, bleeding ulcerating into ventricle of brain and so on are the most valuable factors relating to the prognosis, Of the 108 patients,76 survived, 32 died and the morality was 29.6% .Conclusion Operation indication should be proposed on the basis of clinical data. mastering operation indication and selecting appropriate surgical procedures are the key to improve the curative effect and lower the morality.