中国实用神经疾病杂志2016，Vol.19Issue(21)：15-17,3.
青年和中老年患者脑出血危险因素及预后的相关性探讨
Related discussion of the risk factors and prognosis in young and middle-aged patients with cerebral hemor-rhage
何川 1陈慎之 1潘建南 1汪永强1
作者信息
- 1. 广东珠海市第二人民医院神经外科珠海 519000
- 折叠
摘要
Abstract
Objective To explore the risk factors and prognosis in young and middle-aged patients with cerebral hemor‐rhage .Methods Clinical data from 362 patients with spontaneous cerebral hemorrhage who met inclusion criteria in our hospi‐tal from June 2013 to June 2014 were collected to conduct this retrospective analysis .There were 142 cases in young group(≤45 years old) and 220 cases in middle-aged group(>45 years old) according to age .We explored the risk factors and compared the prognosis of the two groups by collecting prognostic items containing death ,disability and cerebral re-bleeding after tele‐phone follow-up for one year .Results Hypertension was the main cause and risk factor of cerebral hemorrhage .The incidence of hypertension in the middle-aged group was significantly higher than that in the young group(P<0.05) .Additionally ,the main risk factors were hypertension and cerebral arteriovenous malformation in young group and were hypertension ,diabetes , hyperlipidemia and high NIHSS scores in middle-aged group ,all differences were significant(P<0.05) .Cerebral hemorrhage was most common in basal ganglia region ,followed by thalamus .Patients in middle-aged group had worse prognosis ,for the mortality and disability rate were higher which showed statistical differences (P<0.05) .There was no significant difference in recurrence rate of cerebral hemorrhage between two groups (P>0.05) .Conclusion Hypertension is an independent cause of cerebral hemorrhage .Diabetes ,hyperlipidemia and high NIHSS scores may be regarded as risk factors in middle-aged patients with cerebral hemorrhage .Prognosis has close relation with age and over 45 years old may be the one of main causes of worse prognosis .关键词
青年/中老年/脑出血/危险因素/预后Key words
Youth/Middle-aged/Cerebral hemorrhage/Risk factors/Prognosis分类
医药卫生引用本文复制引用
何川,陈慎之,潘建南,汪永强..青年和中老年患者脑出血危险因素及预后的相关性探讨[J].中国实用神经疾病杂志,2016,19(21):15-17,3.
