阿司匹林长期服用者脑出血手术疗效及术后再出血率、死亡率分析

Analysis of surgical effect,postoperative rebleeding rate and mortality rate of intracerebral hemorrhage patients with long- term use of aspirin

目的分析阿司匹林长期服用者脑出血术后再出血率、死亡率及手术疗效。方法以新乡市中心医院行开颅手术治疗的脑出血患者68例为观察对象,按照是否术前长期服用阿司匹林分为研究组(服用)36例、对照组(未服用)32例。观察并比较两组术后再出血率、死亡率及手术疗效。结果研究组术后再出血率、死亡率分别为38.89%、33.33%,均高于对照组的12.50%、9.38%;研究组术后Barteel指数低于对照组,SSS评分高于对照组,上述差异均有统计学意义(P<0.05)。结论术前长期服用阿司匹林的脑出血患者其术后再出血发生率增加,且死亡率增高,预后效果差。

Objective To analyze the surgical effect,postoperative rebleeding rate and mortality rate of intracerebral hemorrhage patients with long- term use of aspirin. Methods 68 patients with intracerebral hemorrhage in Xinxiang Central Hospital treated with craniotomy were chosed and divided into research group( long- term use of aspirin,36 cases) and control group( no use of aspirin,32 cases). The rebleeding rate,mortality rate and surgical effect of the two groups were observed and compared.Results The postoperative rebleeding rate,mortality rate of research group were 38. 89%,33. 33% respectively,higher than control group with 12. 50%,9. 38%. The postoperative Barteel index of research group was lower than the control group,and SSS score was higher than the control group,the differences were statistically significant( P < 0. 05). Conclusion The postoperative bleeding rate and mortality rate of intracerebral hemorrhage patients with long- term use of aspirin are higher,and the prognosis is poor.