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对自发性脑内血瘤患者的回顾性评估

Serdar Cengiz¹, Yavuz Erdem, Haydar Celik

¹Kiziltepe State Hospital, Department of Neurosurgery, Mardin, Türkiye.

Turkish neurosurgery

|April 23, 2024

概括

高龄,高血压和抗凝剂使用增加了脑内血瘤患者修改的兰金度数. 早期风险因素管理对于更好的结果至关重要.

科学领域:

神经学神经学
神经外科神经外科
公共卫生公共卫生

背景情况:

脑内血瘤是导致残疾的重要原因.
了解风险因素是改善患者治疗结果和预防的关键.

研究的目的:

为了研究修改的兰金尺度 (mRS) 在出院时的得分,患者人口统计和脑内血瘤特征之间的关系.
为了确定脑内出血后功能结果的预测因素.

主要方法:

在2010年至2020年期间治疗的114名超门脑内血瘤患者的回顾性分析.
收集的数据包括年龄,性别,并发症,抗凝剂/抗血小板药物的使用,以及格拉斯哥昏迷表 (GCS) 评分.
修改的兰金尺度 (mRS) 评估了在释放时的功能结果.

主要成果:

平均mRS得分为3.47±2.26,死亡率为33.3%.
抗凝固剂/抗血小板剂的使用与50%的死亡率有关.
晚年,高血压,抗凝剂/抗血小板使用,低入院GCS得分与较高的mRS得分显著相关 (p < 0.001).

结论:

晚年,高血压和抗凝血剂/抗血小板药物的使用预测在脑内血瘤后,功能结果较差 (mRS得分较高).
可预防的危险因素对自发性脑内血瘤的残疾有很大影响.
风险因素的早期发现和管理对于改善诊断,预防和减少残疾至关重要.

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