老年高血压性脑出血相关预后影响因素回顾性分析

The Retrospective Analysis of the Prognostic Factors on Elderly Hypertensive Cerebral Hemorrhage

目的:回顾性分析高血压性脑出血患者影响预后的各因素之间的关系的相关性,以及各因素对脑出血患者预后的影响。方法:回顾性分析我院2009年1月-2012年7月间接受治疗的老年高血压性脑出血患者147例,其中男:86例,女:61例;年龄60-83岁,平均(69.6±5.7)岁;高血压病程8-23年,平均(9.7±1.6)年。分析老年高血压性脑出血患者发病至就诊时间、入院就诊时的临床表现、患者的意识状态、出血位置及出血量、语言功能障碍、肢体运动功能障碍,以及患者的预后转归等因素与预后的相关性。结果:老年高血压性脑出血治疗后,总有效率为67.7%;在诸多预后因素中:意识状态、出血量、出血位置,以及是否破入脑室等因素与预后具有相关性,具有统计学意义(P<0.05)。结论:老年高血压性脑出血的预后与意识状态、出血量、出血位置相关,根据临床症状对脑出血患者采取积极的治疗措施,对脑出血患者的预后有重要的意义。

Objective： To analyze the prognostic factors of hypertensive intraeerebral hemorrhage on elder patients retrospectively, as well as to investigate the factors that affected the prognosis of cerebral hemorrhage. Methods： The retrospective analysis was performed with 147 elderly patients suffered from hypertensive intracerebral hemorrhage. The patients treated in our hospital from January 2009 to July 2012, including 86 male cases, 61 female cases; age ranged from 60 to 83 years-old, mean age （69.6 ± 5.7） years; hypertension duration ranged from 8 to 23 years, mean （9.7± 1.6） years. The analysis of elderly hypertensive patients with intracerebral hemorrhage including treatment time, clinical manifestations visited the hospital, the patient＇s state of consciousness, bleeding location and amount of bleeding, language dysftmction, motor dysfunction, and the prognosis factors and the correlation. Results： After the treatment of elderly hypertensive intracerebral hemorrhage, the total effective rate was 67.7%; among the prognostic factors, the state of consciousness, the amount of bleeding, bleeding location, and whether breaking into the ventricle showed correlation with prognosis, which had statistical significance （P 〈0.05）. Conclusion： The prognosis of elderly hypertensive intracerebral hemorrhage showed relationship with state of con- sciousness, the amount of bleeding, bleeding location, the positive treatment should be performed based on clinical symptoms in patients with cerebral hemorrhage, and it has significance application value to improve the prognosis of patients with cerebral hemorrhage.