[1]郭 芳 张 铭 李中振 梁恩和.动脉瘤性蛛网膜下腔出血后分流依赖性脑积水的危险因素分析[J].中国临床神经外科杂志,2016,(02):73-75.[doi:10.13798/j.issn.1009-153X.2016.02.004]
 GUO Fang,ZHANG Ming,LI Zhong-zhen,et al.Risk factors related to shunt-dependent hydrocephalus in patients with aneurysmal subarachnoid hemorrhage[J].,2016,(02):73-75.[doi:10.13798/j.issn.1009-153X.2016.02.004]
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动脉瘤性蛛网膜下腔出血后分流依赖性脑积水的危险因素分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年02期
页码:
73-75
栏目:
论著
出版日期:
2016-02-25

文章信息/Info

Title:
Risk factors related to shunt-dependent hydrocephalus in patients with aneurysmal subarachnoid hemorrhage
文章编号:
1009-153X(2016)02-0073-03
作者:
郭 芳 张 铭 李中振 梁恩和
300060,天津市环湖医院神经外科(郭 芳、李中振、梁恩和);054000 河北邢台,翼中能源邢台矿业集团总医院麻醉科(张 铭)
Author(s):
GUO Fang1 ZHANG Ming2 LI Zhong-zhen1 LIANG En-he1.
1. Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300060, China;
2. Department of Anesthesiology, General Hospital, Jizhong Energy Xingtai Mining Industry Group, Xingtai 054000, China
关键词:
动脉瘤性蛛网膜下腔出血分流依赖性脑积水危险因素
Keywords:
Shunt-dependent hydrocephalus Aneurysmal subarachnoid hemorrhage Risk factors
分类号:
R 743.9; R 619.1+9
DOI:
10.13798/j.issn.1009-153X.2016.02.004
文献标志码:
A
摘要:
目的 探讨动脉瘤性蛛网膜下腔出血(aSAH)后分流依赖性脑积水(SDHC)的危险因素。方法 回顾性分析2011年7月至2014年6月收治的768例经开颅夹闭或血管内栓塞治疗的aSAH患者的临床资料,其中发生SDHC 151例。结果 Logistic回归分析发现,年龄≥40岁(OR=2.40;95%可信区间为1.25~4.61;P<0.01)、术前hunt-hess分级较高(ⅲ~ⅴ级;or>P<0.01)、术前fisher分级较高(ⅲ~ⅳ级;or>P<0.01)、合并脑室内出血(or>P<0.01)、急性脑积水(or>P<0.01)、脑室外引流术(or>P<0.01)是asah后发生sdhc的独立危险因素。>结论 SDHC的高发生率与患者的高龄、较差的起始神经系统状态、急性脑积水、脑室内出血、脑室外引流术有关。
Abstract:
Objective To explore the risk factors related to shunt-dependent hydrocephalus(SDHC) in patients with aneurysmal subarachnoid hemorrhage (aSAH). Methods The clinical data of 768 patients with aSAH, who underwent microsurgical clipping or endovascular coiling in our hospital from July, 2011 to June, 2014, were analyzed retrospectively. Of 768 patients with aSAH, 15 (shunt group) underwent ventriculoperitoneal shunt and 617 (non-shunt group) not. Results Multivariate logistic regression showed that independent risk factors related to SDHC after aSAH included age≥40 years (OR=2.40; 95%CI 1.25~4.61; P<0.01), poor="" hunt-hess="" grades="" (ⅲ,="" ⅳ="" and="" ⅴ;="" or="3.19;" 95%ci="" 2.21~4.60;="">P<0.01), fisher="" grades="" ⅲand="" ⅳ="" (or="3.02;" 95%ci="" 1.79~5.09;="">P<0.01), acute="" hydrocephalus="" (or="16.85;" 95%ci="" 10.81~26.12;="">P<0.01), intraventricular="" hemorrhage="" (or="3.94;" 95%ci="" 2.70~5.75;="">P<0.01) and="" external="" ventricular="" drainage="" (or="2.95;" 95%ci="" 1.46~4.61;="">P<0.01).>Conclusions The higher rate of SDHC was related to senior, poor initial neurological status, acute hydrocephalus, intraventricular hemorrhage and external ventricular drainage in the patients with aSAH.

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更新日期/Last Update: 2016-02-25