长期服用阿司匹林的高血压脑出血患者的预后分析

Prgnostic analysis of patients with hypertensive cerebral hemorrhage and used aspirin for long-team

目的分析长期服用阿司匹林的高血压脑出血患者的预后情况。方法将620例高血压脑出血的患者按长期口服阿司匹林与否分为服用组(A组)和未服用组(B组),比较两组再出血率、出血量、死亡率。存活患者术后进行康复锻炼并进行随访,评估患者康复锻炼6个月后格拉斯哥预后评分(GOS)以及日常生活能力评分(BI)。结果 B组患者术后出血量少于A组,再出血率及病死率低于A组(P<0.001);两组患者GOS评分、BI评分及日常生活能力分级均无明显差异(P>0.05)。结论长期服用阿司匹林的高血压脑出血患者术后的预后较差,应术后积极开展康复锻炼。

Objective To explore the effect of postoperative rehabilitation exercise on patients with hypertensive cerebral hemorrhage and used aspirin for long-team. Methods A total of 620 patients with hypertensive cerebral hemorrhage were divided into taking group （group A） and not taking group （group B） according to whether used aspirin for long-term before onset of the cerebral hemorrhage. The recurrent hemorrhage rates, hemorrhage volume and mortality were compared in the two groups; and the glasgow outcome scale （GOS） and activities of daily living （BI） scores were evaluated after following up for 6 months. Results The hemorrhage volume of the group B was less than that of the group A, recurrent hemorrhage rate and mortality were lower than those of the group A （P〈0.001）. There were no significant differences in scores of GOS, BI and activities of daily living grade between the two groups （P〉O.05）. Conclusion The prognosis of patients with hypertensive cerebral hemorrhage who take aspirin for a long time is poor, so rehabilitation exercise should be carried out actively.