高血压脑出血患者GCS评分与早期再出血率的相关性

目的探讨GCS评分在预测高血压脑出血早期再出血的临床意义。方法回顾性分析170例高血压脑出血患者,运用方差分析诸因素对GCS评分的影响;运用x2检验分析不同GCS评分下再出血率的差异性、镇静治疗与脑出血率的相关性,并运用方差分析研究GCS评分与血压的相关性。结果影响GCS评分的因素较多,不同GCS评分,其再出血率有明显统计学差异,GCS评分在11～13分间,其再出血风险明显增加。结论 GCS评分与早期再出血率有显著相关性,GCS评分可以作为预测高血压脑出血早期再出血的一个重要指标。

Objective Discuss GCS on calculating the Recurrence rate of Cerebral Hemorrhage at the initial stage of hypertensive cerebral hemorrhage.Methods Retrospective analysis of 170 cases of hypertensive cerebral hemorrhage,Analysis the correlation between the risk factors（including gender,age,bleeding site,bleeding volume）and GCS by F test.Use chi-square test to analysis the correlation between GCS and the recurrence rate,and the correlation between sedation and the recurrence rate.Finally,we analysis the correlation between GCS and blood pressure.Results GCS will be reflected by various factors,and the Recurrence rate of cerebral hemorrhage has significant difference in patients with different GCS,the patients with GCS（11～13） have high-risk of recurrence.Conclusion The Correlativity between Glasgow Coma Scale and Recurrence rate of Cerebral Hemorrhage is positive.GCS is an important index to calculate the risk of recurrence at the initial stage of cerebral hemorrhage.