影响高血压性脑出血患者手术治疗预后的多因素分析

Predicting the prognosis of the cases of hypertensive intracerebral hemorrrage by multiplicity

目的通过多因素分析方法对影响高血压性脑出血患者手术治疗预后的因素进行分析,为临床判断预后提供简便的可参考方法。方法运用回顾性研究的方法对156例高血压性脑出血患者入院时的19项变量及治疗方法、预后情况等进行记录分析,通过多因素逐步判别和寻找影响高血压性脑出血患者手术治疗预后的因素。结果出血量、出血部位、术前GCS评分、血肿是否破入脑室、脑疝发生情况、并发症6个变量为判断预后的主要因素。结论上述6个因素对预测高血压性脑出血患者的手术治疗预后具有一定参考价值,为指导选择合理的治疗手段提供一定依据。

Objective To search for a multi-factors quantified index evaluation method in hypertensive intracerebral hemorrhage. To provide a simple and credible method for judging the prognosis of the patients clinically. Methods 20 variables and curative effects of the 156 patients with hypertensive intracerebral hemorrhage were analyzed retrospectively. Logistic regression was used to analysis the data. Results The volume and also the location of the hematoma, preoperative GCS, ventricular hemorrhage, cerebral hernia, treatment strategies, and complications were the main factors which could be used to predict the prognosis of the patients with HICH. Conclusions We can quantify the factors and use them to evaluate the prognosis of HICH and select rational therapeutic methods.