本刊首页 > 期刊目次 > 高血压性脑出血微创穿刺血肿清除术术后生活质量多因素分析

• 文章 •

高血压性脑出血微创穿刺血肿清除术术后生活质量多因素分析

  • 殷骏

* 通信作者: 殷骏, 单位:安庆市第一人民医院 246000

摘要

摘要:
目的:探讨基底核区高血压性脑出血行微创穿刺血肿清除术后生活质量的影响因素。

方法:回顾分析2012年1-2015年1月在我院进行微创穿刺血肿清除术的80例基底核区高血压性脑出血患者病例资料,对影响患者术后生活质量的相关因素进行单因素分析,并进行Logistic回归分析,探讨影响基底核区高血压性脑出血行微创穿刺血肿清除术后生活质量的独立影响因素。

结果:单因素分析

结果表明,患者的年龄、家庭人口数、婚姻状况、受教育程度、家庭月收入、脑中线移位、脑出血量、脑疝及破入脑室情况以及患者意识状态对患者的术后生理健康具有显著影响(P值均<0.05);家庭人口数、是否与子女同住、婚姻状况、意识状态均是影响患者术后心理健康评分的显著因素(P值均<0.05);多因素分析

结果显示家庭人口数(OR=1.941,95%CI 1.175~3.206)及脑中线位移(OR=0.589,95%CI 0.363~0.956)、脑出血量(OR=10.253,95%CI 6.099~17.235)是影响患者术后生理健康的独立影响因素;婚姻状况(OR=0.487,95%CI 0.357~0.664)及是否与子女同住(OR=5.392,95%CI 5.145~5.652)是影响患者术后心理健康的独立影响因素。

结论:基底核区高血压脑出血患者在行微创穿刺血肿清除术后的生活质量与患者的家庭人口数、脑中线移位、脑出血量、婚姻状况以及是否与子女同住密切相关。

关键词:基底核区;高血压性脑出血;微创穿刺血肿清除术;术后生活质量;影响因素

ABSTRACT

OBJECTIVE: To investigate the influencing factors of quality of life in patients with hypertensive cerebral hemorrhage in the basal ganglia after minimally invasive hematoma evacuation.

Methods: A retrospective analysis of 80 patients with hypertensive cerebral hemorrhage in the basal ganglia with minimally invasive hematoma evacuation in our hospital from January 2012 to January 2015 was performed, a single factor analysis of the factors affecting postoperative quality of life and logistic regression analysis was performed to investigate the independent influencing factors of quality of life in patients with hypertensive cerebral hemorrhage in the basal ganglia undergoing minimally invasive puncture hematoma evacuation. RESULTS: Univariate analysis showed that the patient age, family size, marital status, education level, family monthly income, midline shift, cerebral hemorrhage, cerebral palsy and cerebral ventricle, and patient consciousness have significant effects on postoperative physical health of patients (P<0.05); family size, whether living with children, marital status, and state of consciousness were significant factors affecting postoperative mental health (P<0.05); Multivariate analysis showed that the number of family members (OR=1.941, 95% CI 1.175~3.206) and midline displacement (OR=0.589, 95% CI 0.363~0.956), cerebral hemorrhage (OR=10.253, 95% CI 6.099~ 17.235) is an independent influencing factor affecting postoperative physical health; marital status (OR=0.487, 95% CI 0.357~0.664) and whether or not living with children (OR=5.392, 95% CI 5.145~5.652) is affecting patients Independent influence factors of post-mental health.

Conclusion  : The quality of life of patients with hypertensive cerebral hemorrhage in the basal ganglia is significantly related to the patient's family size, brain midline shift, cerebral hemorrhage, and whether they live with their children or marital status.

Key words: basal ganglia; hypertensive cerebral hemorrhage; minimally invasive hematoma evacuation; postoperative quality of life; influencing factors

引用本文 / How to Cite This Article

殷骏.高血压性脑出血微创穿刺血肿清除术术后生活质量多因素分析[J]. 国际精神病学杂志, , (): -

参考文献

相关文章