动脉瘤性蛛网膜下腔出血后慢性脑积水的相关危险因素分析

目的 探讨动脉瘤蛛网膜下腔出血(aSAH)后慢性脑积水的危险因素,为慢性脑积水的预防和治疗提供参考.方法 回顾性分析2008年3月～2010年3月我院收治的127例aSAH患者的临床资料,对aSAH后慢性脑积水的相关危险因素进行单因素和多因素Logistic回归分析,筛选aSAH后慢性脑积水的相关危险因素.结果 127例aSAH患者发生慢性脑积水20例,发生率为15.7％.单因素分析结果显示:年龄、Hunt-Hess分级、Fisher分级、出血破入脑室、急性脑积水、多次出血与aSAH后慢性脑积水有关,而性别、动脉瘤位置、高血压史、吸烟史、饮酒史与aSAH后慢性脑积水的发生无明显相关性(P＞0.05).多因素Logistic回归法分析表明,Hunt-Hess分级、Fisher分级、年龄、多次出血是aSAH后慢性脑积水发生的危险因素.结论 Hunt-Hess分级、Fisher分级、年龄、多次出血是aSAH后慢性脑积水发生的高危因素,对这些危险因素加以重点评估,对具上述高危因素的aSAH患者密切观察,早期诊断并及时处理以减少aSAH后慢性脑积水的发生.

Clinical analysis of risk factors of chronic hydrocephalus after anerusymal subarachnoid hemorrhage

【Objective】 To investigate the risk factors of chronic hydrocephalus after anerusymal subarachnoid hemorrhage(aSAH) and provide reference for prevention and treatment of chronic hydrocephalus after aSAH.【Methods】 The clinical information of 127 cases of aSAH patients maternal delivery from March 2008 to March 2010 was retrospectively analyzed,the risk factors of chronic hydrocephalus after aSAH were analyzed by the univariate and multivariate Logistic regression analysis month,the risk factors of chronic hydrocephalus after aSAH were screened.【Results】 20 cases of chronic hydrocephalus after aSAH occurred in 127 cases of aSAH patients,the incidence rate of chronic hydrocephalus after aSAH was 15.7%.The single-factor analysis showed that the age,Hunt-Hess grading,Fisher grading,hemorrhage broken into ventricles,acute hydrocephalus and multiple bleeding had certain degree of contact with chronic hydrocephalus after aSAH,the gender,aneurysm location,history of hypertension,smoking and drinking history were no significant correlation with chronic hydrocephalus after aSAH.Multivariate Logistic regression analysis showed that the Hunt-Hess grading,Fisher grading,age and multiple bleeding were risk factors of chronic hydrocephalus after aSAH.【Conclusion】 The Hunt-Hess grading,Fisher grading,age and multiple bleeding are the risk factors of chronic hydrocephalus after aSAH.Emphasis assessment of these factors,close observation of the aSAH patients with these risk factors,early diagnosis and timely treatment can reduce the incidence of chronic hydrocephalus after aSAH.