高血压脑出血术后再出血的多因素分析

分析高血压脑出血术后再出血的可能原因，进行相应预防。回顾性分析124例高血压脑出血手术病例，用 Logis-tic 回归模型分析可能因素对术后再出血影响。术后再出血发生率为16.1%。单因素 Logistic 分析：手术时机、出血部位、有无凝血功能异常、术中止血彻底与否、术后血压波动等与术后再出血显著相关（P <0.05）；多元逐步 Logistic 分析：手术时机、术中止血彻底与否、术后血压波动等是术后再出血危险因素（P <0.05）。最佳的手术时机以及争取术中彻底确切止血和术后控制血压在合理范围对预防再出血有重要意义。

Multivariate analysis on recurrent hemorrhage after operation of hypertensive intracerebral hemorrhage

To analyze the influence of related factors on recurrent hemorrhage after operation of hypertensive intrac-erebral hemorrhage,and investigate the countermeasures against recurrent hemorrhage. 124 patients with surgical treated hypertensive intracerebral hemorrhage were analyzed retrospectively. Logistic regression analysis was applied to analyze the function of various possible factors that might induce recurrent hemorrhage. The incidence of recur-rent postoperative hemorrhage was 16. 1% . Univariate logistic analysis disclosed that timing of operation,the hem-orrhage site and coagulation factor disorders,difficulties met during the operation and inadequate hemostasis,and postoperative blood pressure fluctuation were significantly related with recurrence of hemorrhage(P < 0. 05). Multi-variate logistic regression analysis showed that timing of operation,difficulties met during the operation and inade-quate hemostasis and postoperative blood pressure fluctuation were risk factors of recurrent hemorrhage(P < 0. 05). The optimal operative time,strict hemostasis in operation and appropriate postoperative blood pressure control are important measures in preventing recurrent hemorrhage.