摘要
Abstract
Objective:To analyze the risk factors for poor prognosis in patients with supratentorial spontaneous intracerebral hemorrhage(SSICH)after minimally invasive hematoma aspiration and drainage surgery.Methods:A retrospective analysis was conducted on data of 126 SSICH patients who underwent minimally invasive hematoma aspiration and drainage surgery in the First Rehabilitation Hospital of Shandong Province from May 2020 to May 2024,3 months after surgery,according the modified Rankin Scale score they were divided into a good prognosis group and a poor prognosis group.The related factors affecting the adverse prognosis of minimally invasive hematoma aspiration and drainage surgery in SSICH patients were analyzed.Results:Among the 126 SSICH patients who underwent minimally invasive hematoma aspiration and drainage surgery,a total of 16 cases experienced poor prognosis,the incidence of poor prognosis was 12.70%.Univariate analysis result showed that age,hypertension,preoperative hematoma volume,and preoperative Glasgow Coma Scale(GCS)score were associated with poor prognosis after minimally invasive hematoma aspiration and drainage in SSICH patients,with statistical differences(P<0.05).Logistic regression analysis showed that age>60 years,hypertension,preoperative hematoma volume>30 mL,and preoperative GCS score≤8 points are the risk factors for poor prognosis after minimally invasive hematoma aspiration and drainage in SSICH patients(P<0.05).Conclusion:Age>60 years,hypertension,preoperative hematoma volume>30 mL,and preoperative GCS score≤8 are the risk factors for poor prognosis in SSICH patients undergoing minimally invasive hematoma aspiration and drainage surgery.Clinical attention should be paid to the above high-risk groups,and individualized intervention measures should be implemented to reduce the incidence of poor postoperative prognosis.关键词
幕上自发性脑出血/微创血肿抽吸引流术/预后不良/危险因素Key words
Supratentorial spontaneous intracerebral hemorrhage/Minimally invasive hematoma aspiration and drainage surgery/Poor prognosis/Risk factors分类
临床医学
