Prognostic factors of anterior circulation ruptured aneurysms treated by microsurgical clamping
Objective To explore the factors affecting the prognosis of patients with anterior circulation ruptured aneurysms treated by microsurgical clamping.Methods Eighty patients with anterior circulation ruptured aneurysms admitted to Jieyang People's Hospital from January 2018 to June 2023 were selected,including 38 males and 42 females.They were(53.28±2.81)years old.The time from admission to surgery was(1.96±0.52)days.Clinical manifestations:48 cases had severe headache,31 cases mild headache,and 26 cases consciousness disorders.All the patients were treated by microsurgical clamping.They were followed up for 6 months after the surgery.The patients were divided to a good prognosis group and a poor prognosis group according to their prognosis.Their clinical data were analyzed.The Glasgow Outcome Scale(GOS)was used to evaluate their prognosis.The logistic regression equations were used to analyze the relevant factors affecting their prognosis.Results All the 80 patients were successfully followed up,including 59 cases(73.75％)with good prognosis and 21 cases(26.25％)with poor prognosis.There were no statistical differences between the two groups in age,gender,aneurysm diameter,operation time,number of bleedings,and time from admission to operation(all P＞0.05);there were statistical differences in the rest factors between the two groups(all P＜0.05).The logistic analysis results showed that preoperative Hunt-Hess classification,Glasgow Coma Scale(GCS)score,postoperative cerebrovascular complications,postoperative intracranial infection,and Fisher classifiication were risk factors affecting the patients'prognosis(all P＜0.05).Conclusion There are many factors affecting the prognosis of patients with anterior circulation ruptured aneurysms.Their prognosis is mainly closely related to preoperative Hunt-Hess grading,GCS score,postoperative intracranial infection,etc.
万方数据
维普
