|
|
|
| Study on the Life Quality and Related Influencing Factors in Post-surgical Patients with Hypertensive Intracerebral Hemorrhage in Basal Ganglia |
| ZHANG Fa-xue, DU Xiao-guang, LI Chen, et al |
| Department of Neurosurgery, Shandong Provincial Third Hospital, Jinan ,Shangdong 252000 |
|
|
|
|
Abstract 【Objective】 To investigate the quality of life and related influencing factors in post-surgical patients of hypertensive intracerebral hemorrhage in the basal ganglia. 【Methods】 The clinical data of 152 patients with hypertensive cerebral hemorrhage in basal ganglia who underwent surgical treatment in our hospital from January 2014 to November 2016 were retrospectively analyzed. The SF-36 health survey scale (SF-36) was used to assess the patient's quality of life, and to analyze age, gender, marital status, place of residence, occupation, smoking history, drinking history, cerebral hemorrhage, cerebral midline shift, the occurrence of cerebral hernia, operation time after bleeding, state of consciousness , the occurrence of cerebral hemorrhage breaking into the ventricles and other factors affecting on the quality of life. 【Results】 The scores of SF-36 were physical function 15.6±31.5 points, physiological function 37.0±24.3 points, body pain 74.9±17.1 points , overall health 11.6±12.0 points, emotional function 13.5±31.4 points, mental health 51.7±13.9points, activity 46.2±12.5 points, social function 61.8±17.2 points, and total score 312.3±159.9 points. Univariate analysis showed that age, education level, the incidence of living with children, cerebral hemorrhage, cerebral midline shift, cerebral hernia, operation time after hemorrhage, state of consciousness, and the occurrence of cerebral hemorrhage breaking into the ventricles intraventricular due to surgical treatment of hypertensive cerebral hemorrhage in the basal ganglia were the influencing factors on the quality of life in post-surgical patients of hypertensive intracerebral hemorrhage in the basal ganglia. The results of multivariate analysis showed that age, the incidence of living with children, cerebral hemorrhage, cerebral midline shift, and the occurrence of cerebral hemorrhage breaking into the ventricle were independent factors affecting the quality of life in post-surgical patients of hypertensive intracerebral hemorrhage in the basal ganglia.【Conclusion】 Independent factors influencing the quality of life in post-surgical patients of hypertensive intracerebral hemorrhage in the basal ganglia are age, the incidence of living with children, cerebral hemorrhage, cerebral midline shift, and the occurrence of cerebral hemorrhage breaking into the ventricle (intraventricular hemorrhage).
|
|
Received: 27 April 2018
|
|
|
|
|
|
[1] 陈祎招,徐如祥,赛力克,等.高血压脑出血神经内镜微创手术与开颅血肿清除术的临床比较分析[J].中国神经精神疾病杂志,2010,36(10):616-619.
[2] 张荣军,王晓峰,唐宗椿,等.6374例高血压脑出血患者临床特点的分析及治疗方法的选择[J].中华神经医学杂志,2013,12(1):57-61.
[3] 王浩,郑德宇,秦书俭,等.高血压脑出血临床特点与微创治疗优势临床观察[J].山东医药,2011,51(32):76-77.
[4] 游潮,刘鸣,李浩.高血压脑出血诊治中的若干问题[J].中国脑血管病杂志,2011,8(4):169-171.
[5] 符鹏程,陈继华,夏明万,等.Image J测量颅内血肿体积与多田公式的比较评价[J].海南医学,2011,22(5):75-76. .
[6] 杨理媛,孙晓川.治疗高血压脑出血三种术式疗效和预后研究[J].中国全科医学,2012,15(9):1040-1042.
[7] 吴有志,罗良生,张健,等.高血压脑出血患者诊疗及预后的影响因素[J].中国老年学杂志,2013,33(14):3328-3329.
[8] 衣服新,张建选,孔令常,等.高血压脑出血术后并发症对患者预后的影响[J].山东医药,2011,51(9):46-47.
[9] 黄明火,罗杰,徐春林,等.老年高血压脑出血的手术治疗及其预后影响因素[J].中国老年学杂志,2013,33(20):5115-5116.
[10] 李芳芳,罗丹,谢鹏,等.高血压脑出血患者短期预后的影响因素[J].中国老年学杂志,2012,32(16):3423-3424.
[11] 李琴福.老年高血压脑出血患者的血液流变学改变及影响因素[J].中国老年学杂志,2014,34(2):518-519.
[12] 尹乾坤.高血压脑出血手术治疗近期预后的影响因素[J].中国实用神经疾病杂志,2016,19(16):82-83. |
| [1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(8): 1557-1558. |
|
|
|
|
2018, Vol. 35 
