急性脑出血患者早期血肿扩大影响因素的回顾性研究

Retrospective Study on the Influential Factors of Early Hematoma Enlargement in Patients with Acute Cerebral Hemorrhage

目的:探讨急性脑出血(ACH)患者早期血肿扩大的影响因素。方法:回顾性分析2016年6月-2019年6月本院收治的120例ACH患者,分析血肿扩大的发生率,采用Logistic回归分析影响血肿扩大的因素。结果:120例ACH患者中,血肿扩大42例,占35.00%。Logistic多因素分析结果显示,血肿不均质(OR=1.201,95%CI:1.024~1.496)、入院时GCS评分(OR=1.968,95%CI:1.125~2.685)、入院时NIHSS评分(OR=1.380,95%CI:1.108~2.201)、血糖(OR=1.442,95%CI:1.160~1.934)是影响血肿扩大的独立因素(P<0.05)。结论:临床上应该针对血肿扩大的影响因素进行早期干预,以提高ACH患者的预后。

Objective:To explore the influential factors of early hematoma enlargement in patients with acute cerebral hemorrhage(ACH).Methods:The incidence of hematoma enlargement was analyzed in 120 patients with ACH from June 2016 to June 2019.The factors influencing hematoma enlargement were analyzed by logistic regression.Results:Among 120 patients with ACH,42(35.00%) had hematoma enlargement.Logistic multivariate analysis showed that hematoma heterogeneity(OR=1.201,95%CI:1.024~1.496),GCS score at admission(OR=1.968,95%CI:1.125~2.685),NIHSS score at admission(OR=1.380,95%CI:1.108~2.201),blood glucose(OR=1.442,95%CI:1.160~1.934) were independent factors(P<0.05).Conclusion:In order to improve the prognosis of ACH patients, early intervention should be carried out according to the influencing factors of hematoma enlargement.