动脉瘤性蛛网膜下腔出血患者Hunt-Hess分级与并发症及功能障碍相关性分析OACSTPCD

Objective:To explore the correlation between Hunt-Hess grading and complications as well as neu-rological dysfunction in patients with aneurysmal subarachnoid hemorrhage(aSAH).Methods:Clinical data of 195 aSAH patients treated from October 2011 to October 2021 were retrospectively analyzed.Patients gradedⅠ-Ⅲ on the Hunt-Hess scale were included in the low-grade group(86 cases),and those graded Ⅳ-Ⅴ were in-cluded in the high-grade group(109 cases).General conditions,scale scores,complications,and main dysfunc-tions of patients in both groups were compared,and indicators with significant differences were analyzed using multivariate logistic regression.Results:The Hunt-Hess grading was positively correlated with hydrocephalus(OR 2.850,95％CI 1.560-5.206),motor dysfunction(OR 3.522,95％CI 2.026-6.121),language dysfunction(OR 1.928,95％CI 1.062-3.500),consciousness disorder(OR 3.662,95％CI 1.558-8.607),and swallowing disorder(OR 2.383,95％CI 1.248-4.550);it was negatively correlated with age(OR 0.970,95％CI 0.945-0.996),second-ary cerebral infarction(OR 0.414,95％CI 0.227-0.754),Fugl-Meyer balance score(OR 0.890,95％CI 0.818-0.968),and ADL score(OR 0.983,95％CI 0.971-0.994).Conclusion:Patients in the high-grade Hunt-Hess group have a higher incidence of hydrocephalus and more severe overall dysfunction,while younger patients have a higher survival rate;however,regardless of the level of Hunt-Hess grade,patients are at risk of cognitive disorders.Timely screening and individualized rehabilitation should be considered.