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高血压脑出血血肿清除术后并发脑梗死影响因素分析

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目的:分析高血压脑出血血肿清除术后并发脑梗死影响因素,方法:选取我院于2022年1月到2023年12月时间段内,共有6 7位接受血肿清除术治疗的高血压脑出血患者被纳入本次研究范畴.研究组为脑梗死组2 7例,对照组为无脑梗死组40例,结果:两组性别、年龄、血糖水平比较,不具有统计学意义(P>0.05),两组高血压病史及收缩压和舒张压的差异均在统计学上具有意义(P<0.05),两组术后血肿量、水肿及脑组织移位比较,具有统计学意义(P<0.05),经过Logistic回归分析,发现高血压病史、收缩压和舒张压的上升,以及血肿量的增大,均为术后并发脑梗死风险增加的关键因素(P<0.05).结论:高血压脑出血血肿清除术后并发脑梗死与高血压病史、收缩压、舒张压以及术后血肿量等存在密切关系,临床应针对上述因素进行针对性干预.
Analysis of the influencing factors of concurrent cerebral infarction after hematoma removal surgery for hypertensive intracerebral hemorrhage
Objective:To analyze the influencing factors of hypertensive cerebral hemorrhage after hematoma remov-al.Methods:A total of 67 patients with hypertensive cerebral hemorrhage treated by hematoma removal from Jan-uary 2022 to December 2023 were included in the scope of this study.The study group included 27 patients in the cerebral infarction group,The control group included 40 patients in the group without cerebral infarction,Results:Comparison of gender,age,and blood glucose level between the two groups,Not statistically significant(P>0.05),The ences in history of hypertension and systolic and DBP in both groups were statistically significant(P<0.05),Comparison of postoperative hematoma volume,edema,and brain tissue displacement in the two groups,Sta-tistically significant(P<0.05),After a Logistic regression analysis,Found a rising history of hypertension,sys-tolic and diastolic BP,And the increased hematoma volume,All were the key factors for the increased risk of post-operative complicated cerebral infarction(P<0.05).Conclusion:Hypertension cerebral hemorrhage,systolic blood pressure,diastolic blood pressure and postoperative hematoma volume,and clinical intervention should be targeted according to the above factors.

hypertensive cerebral hemorrhagehematoma removalcerebral infarctionfactor analysis

郑海英、马雪梅

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上海市第一人民医院酒泉医院(酒泉市人民医院),甘肃酒泉 735000

高血压脑出血 血肿清除术 脑梗死 因素分析

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(1)
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