ABO血型与幕上高血压脑出血的相关性研究

Association between ABO blood group and supratentorial hypertensive intracerebral hemorrhage

目的探讨ABO血型与幕上高血压脑出血的关系。方法分析常熟市中医院(常熟市新区医院)神经外科2018年1月—2022年12月诊断为幕上高血压脑出血患者的临床资料,按准入及排除标准,将其分为A型血(145例)、B型血(149例)、AB型血(50例)、O型血(135例),分析不同患者之间的差异。结果O型血患者血肿量与其他血型患者之间的差异存在统计学意义(P<0.05),O型血基底节出血患者的格拉斯哥预后评分与其他血型患者之间的差异存在统计学意义(P<0.05)。结论ABO血型中O型血患者发生幕上高血压脑出血后血肿量更大,其中基底节出血患者预后更差。

Objective To explore the association between ABO blood group and supratentorial hypertensive intracerebral hemorrhage.Methods A retrospective analysis was performed for the clinical data of patients who were diagnosed with supratentorial hypertensive intracerebral hemorrhage in Department of Neurosurgery,Changshu TCM Hospital Affiliated to Nanjing University of Chinese Medicine(Changshu New District Hospital),from January 2018 to December 2022.According to the inclusion and exclusion criteria,the patients were classified into blood group A(145 patients),blood group B(149 patients),blood group AB(50 patients),and blood group O(135 patients),and the differences between these blood groups were analyzed.Results There was a significant difference in hematoma volume between the patients with blood group O and those with other blood groups,and as for basal ganglia hemorrhage,there was a significant difference in Glasgow Prognostic Score between the patients with blood group O and those with other blood groups(P<0.05).Conclusions Patients with blood group O tend to have a larger hematoma volume after supratentorial hypertensive intracerebral hemorrhage,among whom the patients with basal ganglia hemorrhage tend to have a poorer prognosis.