高血压合并脑出血的预后相关因素调查分析

Factors of prognosis among patients with hypertensive cerebral hemorrhage

目的探讨高血压脑出血预后的相关影响因素。方法选择我院两年来收治的高血压脑出血患者,治疗后随访15d～3个月,根据预后分为临床痊愈组及预后不佳组,比较两组的基线特征并进行多因素分析预后的相关影响因素。结果共纳入患者148例,其中预后痊愈组82例,死亡及预后欠佳组66例,预后不佳占总例数的44.59%。预后不佳的相关影响因素可能是病时GCS评分(P=0.000,OR=0.264)、破入脑室(P=0.002,OR=44.725)及出血量的多少(P=0.01,OR=1.045)。结论高血压脑出血预后不佳很普遍,多与发病时意识状态、病变是否破入脑室及脑出血量的多少相关,积极采取相关应对措施,可能减少预后不佳的发生。

Objective To explore the relevant factors of prognosis among patients with hypertensive cerebral hemorrhage.Methods Patients with hypertensive cerebral hemorrhage were included in recent two years.All patients were divided into two groups depending on prognosis during the 3 months＇ follow-up.We compared the baselines between the groups and used logistic regression model to analyze risk factors.Results 148 patients were included and 44.59% of patients had a poor prognosis.Prognosis among patients with hypertensive cerebral hemorrhage may be related to the GCS scores（P=0.000,OR=0.264）,hemorrhage at ventricle（P=0.002,OR=44.725）,hemorrhage volume（P=0.01,OR=1.045）.Conclusion Poor prognosis among hypertensive cerebral hemorrhage is very common,often is associated with conscious state,hemorrhage at ventricle and hemorrhage volume.