目的 探究分析高血压脑出血患者手术治疗后再出血发生率及其危险因素.方法 方便选取2019年12月—2022年12月期间建瓯市立医院310例高血压脑出血手术患者为研究对象,将其根据术后有无引发再出血分为再出血组32例和无出血组278例,比较不同个人基本资料、疾病情况及治疗情况者的术后再出血发生率,分析高血压脑出血患者术后再出血发生的影响因素.结果 310例高血压脑出血手术患者中术后发生再出血者发生率为10.32%,不同手术时机、格拉斯哥昏迷评分法(Glasgow Coma Scale,GCS)评分、首次抽吸量、术中责任动脉发现情况、凝血功能障碍、舒张压水平、术后躁动情况及合并肝脏疾病情况者的术后再出血发生率比较,差异有统计学意义(P均＜0.05),多因素Logistic分析显示,手术时机(OR=2.815)、首次抽吸量(OR=3.264)、术中责任动脉发现情况(OR=3.001)、凝血功能障碍(OR=3.655)、舒张压水平(OR=2.699)、术后躁动情况(OR=3.330)及合并肝脏疾病情况(OR=3.431)是高血压脑出血患者术后再出血发生的影响因素(P均＜0.05).结论 高血压脑出血患者手术治疗后再出血发生率较高,且手术时机、首次抽吸量、术中责任动脉发现情况、凝血功能障碍、舒张压水平、术后躁动情况及合并肝脏疾病情况均是其危险因素,可作为防控措施制订的参考依据.
Study on the Incidence and Risk Factors of Rebleeding after Operation in 310 Patients with Hypertensive Intracerebral Hemorrhage
Objective To explore and analyze the incidence and risk factors of rebleeding in patients with hyperten-sive intracerebral hemorrhage after operation.Methods A total of 310 patients undergoing hypertensive cerebral hemor-rhage surgery in Jian'ou Municipal Hospital from December 2019 to December 2022 were conveniently selected as the study objects,and were divided into a group of thirty-two patients with recurrent hemorrhage and a group of two hundred and seventy-eight patients without recurrent hemorrhage according to whether or not recurrent hemorrhage occurred after surgery.The incidence of postoperative rebleeding in patients with different personal data,disease and treatment was compared.Analyzed the influencing factors of postoperative rebleeding in patients with hypertensive in-tracerebral hemorrhage.Results In 310 patients with hypertensive intracerebral hemorrhage,the incidence of postop-erative rebleeding was 10.32%.Comparison of the incidence of postoperative rebleeding among patients with different operation timing,Glasgow Coma Scale score(GCS),first suction volume,intraoperative discovery of responsible artery,coagulation dysfunction,diastolic blood pressure level,postoperative agitation and liver disease,and the difference was not statistically significant(all P＜0.05).Multivariate Logistic analysis showed that operation timing(OR=2.815),first aspiration volume(OR=3.264),intraoperative discovery of the responsible artery(OR=3.001),coagulation dysfunc-tion(OR=3.655),diastolic blood pressure level(OR=2.699),postoperative agitation(OR=3.330)and liver disease(OR= 3.431)were influential factors for postoperative rebleeding in patients with hypertensive intracerebral hemorrhage(all P＜0.05).Conclusion The incidence of rebleeding after operation is high in hypertensive intracerebral hemorrhage pa-tients,and the operation time,the first suction volume,the intraoperative discovery of the responsible artery,coagula-tion dysfunction,diastolic blood pressure level,postoperative agitation and liver disease are all risk factors,which can be used as reference for formulating prevention and control measures.
万方数据
维普
