文章摘要
郭强,张爱莲,宋志斌,高建伟,李旭光,刘庆国,王龙.基底核区高血压脑出血术后患者生命质量及影响因素分析[J].中华物理医学与康复杂志,2016,38(7):514-523
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基底核区高血压脑出血术后患者生命质量及影响因素分析
  
DOI:
中文关键词: 高血压脑出血  基底核区  术后患者  生命质量  影响因素
英文关键词: Hypertension  Cerebral hemorrhage  Basal ganglia  Postoperative patients  Quality of life
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作者单位
郭强,张爱莲,宋志斌,高建伟,李旭光,刘庆国,王龙 046000山西长治医学院附属和平医院神经外科(郭强、宋志斌、高建伟、李旭光、刘庆国、王龙)山西医科大学公共卫生学院(张爱莲) 
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中文摘要:
      目的测评并分析基底核区高血压脑出血术后患者的生命质量状况及影响因素,为提高此类疾病患者生命质量提供参考依据。 方法搜集基底核区高血压脑出血手术后符合纳入条件的患者资料128例进行回顾性研究分析。设计调查表进行问卷调查,调查患者的人口学特征(性别、年龄、职业、婚姻状况、文化程度、居住地、家庭人口数、是否与子女同住、吸烟、饮酒、家庭收入等)及手术时的各项临床状况(脑中线移位、脑出血量、手术开始时间、脑疝是否发生、意识状态、出血是否破入脑室等)。采用SF-36健康测量量表对患者生命质量进行测评,并对其影响因素进行统计学单因素及多因素分析。 结果(1)单因素分析:①生理功能(PF)主要受年龄、婚姻状况、家庭人口数、脑中线移位、脑出血量、脑疝是否发生、意识状态以及出血是否破入脑室等因素的影响(P<0.05);②生理职能(RP)主要受婚姻状况、文化程度、婚姻状况、家庭月收入、脑中线移位、意识状态以及出血是否破入脑室等因素的影响(P<0.05);③躯体疼痛(BP)主要受婚姻状况和家庭人口数的影响(P<0.05);④总体健康(GH)主要受年龄、婚姻状况、家庭月收入、脑中线移位、脑出血量、脑疝是否发生、意识状态、出血是否破入脑室等因素的影响(P<0.05);⑤社会功能(SF)主要受婚姻状况、家庭人口数、意识状态以及出血是否破入脑室等因素的影响(P<0.05);⑥精神健康(MH)主要受是否与子女同住、脑出血量、手术开始时间以及出血是否破入脑室等因素的影响(P<0.05);⑦情感职能(RE)主要受意识状态和出血是否破入脑室的影响(P<0.05);⑧活力(VT)主要受婚姻状况、吸烟、意识状态以及出血是否破入脑室等因素的影响(P<0.05)。(2)多因素分析:①PF主要受出血是否破入脑室、家庭人口数、脑中线移位、年龄等因素的影响(P<0.05);②RP主要受家庭人口数和是否与子女同住两因素的影响(P<0.05);③BP主要受家庭人口数的影响(P<0.05);④GH主要受脑中线移位、出血是否破入脑室以及年龄和居住地等因素的影响(P<0.05);⑤SF主要受出血是否破入脑室和家庭人口数的影响(P<0.05);⑥MH主要受出血是否破入脑室因素的影响(P<0.05);⑦RE主要受出血是否破入脑室因素的影响(P<0.05);⑧VT主要受出血是否破入脑室、家庭人口数和吸烟等因素的影响(P<0.05)。 结论基底核区高血压脑出血术后患者生命质量影响因素主要有年龄、家庭人口数、是否与子女同住、家庭居住地、吸烟、脑中线移位、出血是否破入脑室等。
英文摘要:
      Objective To explore the life quality of postoperative patients after a hypertensive cerebral hemorrhage in the basal ganglia and the factors influencing it, so as to provide evidence for improving the life quality of such patients. MethodsA total of 128 patients were studied retrospectively. Their gender, age, occupation, marital status, education level, place of residence and family size were tabulated, as well as whether or not they were living with their children, smoking or drinking alcohol. Their household income was recorded along with their clinical condition during surgery (midline shift, blood loss, operative time, whether a hernia occurred, consciousness, and whether bleeding broke into the ventricles. The SF-36 health measurement scale was used to evaluate the patients′ life quality, and the factors influencing it were analyzed. ResultsUnivariate analysis showed that: (1) Their physiological functioning (PF) and global health (GH) were mainly affected by age, marital status, family size, midline shift, quantity of cerebral hemorrhage, occurrence of herniation, consciousness and whether the hemorrhage broke into the ventricles. (2) Their physiological role (RP) was influenced by marital status, education background, household monthly income, midline shift, consciousness and whether the hemorrhage broke into the ventricles. (3) Pain (BP) was mainly affected by marital status and family size. (4) Social functioning (SF) was closely related to marital status, family size, consciousness and whether hemorrhage broke into the ventricles. (5) Their mental health (MH) was mainly affected by the amount of bleeding, whether they were living with their children, the operation′s duration and whether the hemorrhage broke into the ventricles. (6) Their emotions (RE) were influenced by their consciousness and whether bleeding broke into the ventricles. (7) Their vitality (VT) was affected by their marital status, smoking, consciousness and whether the bleeding broke into the ventricles. Multivariate analysis showed that whether the hemorrhage broke into the ventricles was the most influential factor. Family size was also influential. ConclusionsAge, number of family members, whether they are living with their children, and whether hemorrhage broke into the ventricles are all influential in predicting the life quality of survivors of hypertensive cerebral hemorrhage in the basal ganglia.
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