174例高血压基底节脑出血内科治疗及预后因素分析

doi:10.3969/j.issn.1000-8535.2016.05.008

广州医药 ›› 2016, Vol. 47 ›› Issue (5): 23-25.DOI: 10.3969/j.issn.1000-8535.2016.05.008

174例高血压基底节脑出血内科治疗及预后因素分析

黄冠又, 张欣, 明悦, 曹楚南, 甘鸿川

贵阳市第二人民医院神经外科(贵阳 550081)

收稿日期:2016-05-11 出版日期:2016-09-20 发布日期:2021-12-02
通讯作者: 甘鸿川,E-mail:ghc7669@163.com
基金资助:
贵阳市卫生系统高层次创新型青年卫生人才培养计划项目(2014筑卫计科技合同009号)

Prognostic factors and analysis on 174 patients of hypertensive intracerebral hemorrhage in basal ganglia with conservative treatment

Huang Guanyou, Zhang Xin, Ming Yue, et al

Department of Neurosurgery, Second People's Hospital of Guiyang, Guiyang 550081,China

Received:2016-05-11 Online:2016-09-20 Published:2021-12-02

摘要/Abstract

摘要： 目的探讨内科治疗的高血压基底节区出血的疗效及预后相关的因素。方法回顾性分析2005年4月—2014年12月贵阳市第二人民医院神经外科收治的174例高血压脑出血患者的临床资料,所有患者均采用内科保守治疗,对疗效及影响患者预后的因素进行分析。结果 174例患者中,死亡50例,持续植物生存状态4例,对124例存活患者进行随访,随访时间2~117个月,随访ADL分级Ⅰ级43例,Ⅱ级53例,Ⅲ级21例,Ⅳ级3例,Ⅴ级4例,预后较好者(ADL分级Ⅰ~Ⅱ级)96例,预后不良者(ADL分级Ⅲ~Ⅴ级)28例。χ²检验显示入院 GCS评分和出血量是影响患者预后的因素。结论影响高血压基底节区脑出血患者的预后因素较多,GCS评分较高、出血量少的患者可采用内科治疗,多数患者预后较好。

关键词: 高血压, 基底节区, 脑出血

Abstract: Objective To investigate treatment efficacy and the factors influencing prognosis of conservative treatment of hypertensive intracerebral hemorrhage in basal ganglia. Methods A retrospective analysis was conducted on the clinical data of 174 patients with hypertensive intracerebral hemorrhage in basal ganglia who were admitted to our hospital during the period from April 2005 to December 2014. All the patients were given internal medicine conservative treatment and followed up to observe the clinical curative effect to analyze the prognosis. Results Of the 174 patients, 50 patients died and 4 patients were persistent vegetative state. 124 patients were followed up for 2-117 months and they were classified according to ability of daily life(ADL) prognosis scale: 43 cases were in I grade, 53 cases in II grade, 21 cases in III grade, 3 cases in IV grade, 4 cases in V grade. 96 cases achieved favourable outcomes and 28 cases got poor outcomes.The results of Chi square test revealed that GCS scale and intracerebral hemorrhage volume were the factors influencing prognostic of hypertensive intracerebral hemorrhage in basal ganglia. Conclusion There were many prognosis factors related with hypertensive intracerebral hemorrhage. The curative effect and prognosis in patients with conservative treatment is obvious in these patients with high GCS scale and less intracerebral hemorrhage volume.

Key words: Hith blood pressure, Basal ganglia, Intracerebral hemorrhage

黄冠又, 张欣, 明悦, 曹楚南, 甘鸿川. 174例高血压基底节脑出血内科治疗及预后因素分析[J]. 广州医药, 2016, 47(5): 23-25.

Huang Guanyou, Zhang Xin, Ming Yue, et al. Prognostic factors and analysis on 174 patients of hypertensive intracerebral hemorrhage in basal ganglia with conservative treatment[J]. Guangzhou Medical Journal, 2016, 47(5): 23-25.

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174例高血压基底节脑出血内科治疗及预后因素分析

Prognostic factors and analysis on 174 patients of hypertensive intracerebral hemorrhage in basal ganglia with conservative treatment

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