摘要
Abstract
Objective To investigate the relevant factors of seizures after spontaneous subarachnoid hemorrhage ( SAH ) . Methods A total of 158 patients with spontaneous SAH were enrolled in this ten year retrospective study, including the sex ratio, age, body mass index, smoking, drinking, hypertension, diabetes mellitus, coronary disease history, brain infarction history, Glasgow Coma Scale, Fisher scale and Hunt - Hess scale. Possible relevant factors for seizure were analyzed by using multiple factor Logistic regression analysis. Results Seizures occurred in 23 patients who had SAH, accounting for 14. 6% ( 23/158 ) . According to single factor analysis, the incidence of drinking, brain infarction, Glasgow Coma Scale ( 3 ~8 scale ) and Fisher scale ( 3 ~ 4 scale ) between epileptic group and non - epileptic group all had statistically significant differences ( P < 0. 05 ) . Multiple factor unconditional Logistic regression analysis showed that Fisher scale ( 3 ~4 scale ) [ OR = 1. 778, 95% CI (1.069, 2.678), P =0.046] and brain infarction ( OR =3. 124, 95% CI ( 1.221, 7.184), P =0. 012 ] entered the regression equation. Conclusion Higher Fisher scale and history of brain infarction are predictive of seizure. Fine prognosis probably will be achieved if the patients with higher Fisher scale and ( or ) history of brain infarction accept anti - epileptic treatment.关键词
蛛网膜下腔出血/癫痫/危险因素/预后Key words
Subarachnoid hemorrhage/ Epilepsy/ Risk factors/ Prognosis分类
医药卫生
