血红蛋白水平与动脉瘤性蛛网膜下隙出血后血管痉挛及预后的相关分析

Analysis of the association of hemoglobin level and vasospasm after aneurysmal subarachnoid hemorrhage

目的血红蛋白水平与动脉瘤性蛛网膜下隙出血后血管痉挛发生率及预后的相关分析。方法纳入213例动脉瘤性蛛网膜下隙出血的患者,测量其血红蛋白水平,按血红蛋白水平分为3组,通过TCD、DSA检查诊断血管痉挛,患者预后情况通过查阅临床病历、电话和信访等获得。运用卡方检验对不同血红蛋白水平组的血管痉挛发生率和预后情况进行统计学分析。结果血红蛋白低水平组患者组痉挛发生率高、预后较差。结论对于动脉瘤性蛛网膜下隙出血患者,应密切监测血红蛋白水平,对于血色素偏低或下降明显的患者应及早予以干预以改善患者的预后。

Objective To analyse the association of hemoglobin level and vasospasm after aneurysmal subarachnoid hemorrhage.Methods 213 patients were enrolled,who were divided into three groups according to the hemoglobin level.The vasospasm was confirmed by TCD or DSA.The prognosis was achieved by hospital records,phone call and correspondence.We compared the vasospasm incidence and prognosis using chi-square test between the different groups.Results There were the higher incidence of the vasospasm and more worse prognosis with the lower hemoglobin level.Conclusion Aneurysmal subarachnoid hemorrhage patients should be closely monitored hemoglobin levels,low hemoglobin or decreased significantly patients should be intervened early in order to improve the prognosis of patients.