颅脑穿刺术治疗高血压脑出血术后再出血危险因素分析

目的探究颅脑穿刺术治疗高血压脑出血术后再出血的危险因素。方法选取濮阳市安阳地区医院2017-01—2018-06收治的88例高血压脑出血患者为观察对象,所有患者入院后均接受颅脑穿刺术治疗,根据患者术后是否再出血分为出血组18例,未出血组70例,对颅脑穿刺术治疗高血压脑出血术后再出血危险因素进行Logistic回归分析。结果2组年龄、性别、出血部位、原发出血量、GCS评分及糖尿病人数相比差异无统计学意义(P>0.05);2组手术时机、术后血压、首次抽吸量及肝脏疾病比较差异有统计学意义(P<0.05);经Logistic回归分析,手术时机、术后血压、首次抽吸量以及肝脏疾病情况均为颅脑穿刺术治疗高血压脑出血术后再出血危险因素(P<0.05)。结论临床对颅脑穿刺术治疗高血压脑出血患者的手术时机、术后血压、首次抽吸量以及肝脏疾病情况进行监测并处理,对预防术后再出血、提高临床治疗效果具有一定临床应用价值。

Analysis of risk factors for rebleeding after craniocentesis for hypertensive cerebral hemorrhage

Objective To investigate the risk factors of recurrent bleeding after hypertensive cerebral hemorrhage by craniocerebral puncture.Methods Eighty-eight patients with hypertensive intracerebral hemorrhage admitted to our hospital from January 2017 to June 2018 were enrolled.All patients were treated with craniocerebral puncture after admission.According to whether there was rebleeding after surgery,It is divided into an observation group and a control group.Among them,18 patients in the observation group and 70 patients in the control group were analyzed by Logistic regression analysis of risk factors for rebleeding after hypertensive cerebral hemorrhage.Results There were no significant differences in age,gender,bleeding site,original blood volume,GCS score,and number of diabetic patients between the two groups(P>0.05),the timing of operation and postoperative blood pressure,first aspiration and liver disease were statistically different between two groups(P<0.05).Logistic regression analysis showed that the timing of operation,postoperative blood pressure,first aspiration and liver disease were risk factors for rebleeding after hypertensive intracerebral hemorrhage treated by craniocerebral puncture(P<0.05).Conclusion The clinical operation,postoperative blood pressure,first aspiration volume and liver disease of patients with hypertensive intracerebral hemorrhage in the treatment of hypertensive cerebral hemorrhage are monitored and treated.It is helpful to prevent postoperative rebleeding and improve the treatment effect of patients.