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目的评估微创手术治疗高血压脑出血短期预后危险因素,为临床治疗提供依据。方法回顾性分析微创手术治疗高血压脑出血52例患者的临床资料,分析其预后相关危险因素。结果 Logistic多因素回归分析结果显示,年龄、出血量、手术时机、血肿部位、糖尿病及冠心病病史是微创手术治疗高血压脑出血预后不良相关因素;合并糖尿病或冠心病者预后较差。结论高血压脑出血患者预后不仅取决出血量、手术时机选择,控制糖尿病、冠心病也非常重要。
Objective To evaluate the risk factors of short-term prognosis of minimally invasive surgery for hypertensive intracerebral hemorrhage and provide the basis for clinical treatment. Methods The clinical data of 52 patients with hypertensive intracerebral hemorrhage treated by minimally invasive surgery were analyzed retrospectively to analyze the prognostic risk factors. Results Logistic multivariate regression analysis showed that age, bleeding volume, timing of surgery, hematoma site, history of diabetes mellitus and coronary heart disease were associated with poor prognosis of minimally invasive treatment of hypertensive intracerebral hemorrhage. Patients with diabetes mellitus or coronary heart disease had poor prognosis. Conclusion The prognosis of patients with hypertensive cerebral hemorrhage not only depends on the amount of bleeding, timing of surgery, diabetes control, coronary heart disease is also very important.