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目的 探讨影响高血压脑出血患者血肿清除术后血压波动的因素。方法 对８０ 例高血压脑出血血肿清除术的临床资料，采用多因素逐步回归法进行统计学处理。结果 Ｙ１（ 术后收缩压） 与 Ｘ２（ 年龄） 、 Ｘ３ － ４（ 出血破入脑室） 、 Ｘ３ － ５（ 小脑出血） 、 Ｘ５ － １（ 术前收缩压） 呈正相关。 Ｙ２（ 术后舒张压） 与 Ｘ３ － ５（ 小脑出血） 、 Ｘ３ － ４（ 出血破入脑室） 、 Ｘ３ － ３（ 基底节内侧型） 、 Ｘ５ － ２（ 术前舒张压） 呈正相关。结论 年龄＜ ５５ 岁、术前血压较高、出血破入脑室、小脑出血、基底节内侧型出血者易出现高血压脑出血血肿清除术后的血压波动。
Objective To explore the influencing factors of blood pressure fluctuation after hematoma clearance in patients with hypertensive intracerebral hemorrhage. Methods The clinical data of 80 patients with hypertensive intracerebral hemorrhage hematoma were analyzed statistically by multi-factor stepwise regression. Results Y1 (postoperative systolic pressure) was positively correlated with X2 (age), X3 - 4 (hemorrhage into ventricles), X3 - 5 (cerebellar hemorrhage) and X5 - 1 (preoperative systolic pressure). Y2 (postoperative diastolic pressure) was positively correlated with X3 - 5 (cerebellar hemorrhage), X3 - 4 (hemorrhage broken into ventricles), X3 - 3 (medial basal ganglia) and X5 - 2 (preoperative diastolic pressure). Conclusion Age 55 years old, high preoperative blood pressure, bleeding into the ventricle, cerebellar hemorrhage, basal ganglia-type bleeding prone to hypertensive intracerebral hemorrhage after hematoma removal of blood pressure fluctuations.