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目的对蛛网膜下腔出血(SAH)后迟发性脑血管痉挛(DCVS)的危险因素进行分析。方法对解放军152医院治疗的108例SAH患者的临床资料进行回顾性评价,并对蛛网膜下腔出血导致继发性脑血管痉挛的危险因素进行分析。结果 108例SAH患者中26例发生DCVS,DCVS发生率为24.1%。显示尚不能认为DCVS发生率与患者的性别、血Na水平有相关性,组间比较差异无统计学意义(P>0.05);与患者年龄、发病时意识障碍程度、发病时体温、血Ca2+水平、白细胞计数有相关性,组间比较差异有统计学意义(P<0.05)。结论临床上为能够降低蛛网膜下腔出血后导致的迟发性脑血管痉挛的发生几率,应对导致脑血管痉挛的危险因素进行改善,使患者的生活质量得到提高。
Objective To analyze the risk factors of delayed cerebral vasospasm (DCVS) after subarachnoid hemorrhage (SAH). Methods The clinical data of 108 SAH patients treated by People’s Liberation Army 152 Hospital were retrospectively reviewed. The risk factors of secondary cerebral vasospasm caused by subarachnoid hemorrhage were analyzed. Results DCVS occurred in 26 of 108 patients with SAH, the incidence of DCVS was 24.1%. The incidence of DCVS was not related to gender and blood Na level in patients. There was no significant difference between the two groups (P> 0.05), but not with the age of patients, the degree of disturbance of consciousness at onset, body temperature at onset, serum Ca2 + level , White blood cell count was correlated, the difference between the groups was statistically significant (P <0.05). Conclusion Clinically, the incidence of delayed cerebral vasospasm caused by subarachnoid hemorrhage can be reduced and the risk factors leading to cerebral vasospasm should be improved so that the quality of life of the patients can be improved.