关键词: 蛛网膜下腔出血; 预后因素; 介入治疗

Abstract:

Objective To explore the prognosis factors of subarachnoid hemorrhage (SAH) and the methods of improving the prognosis. Methods A total of 120 patients of SAH that were recruited during July 2015 and August 2016 were divided into two groups. The patients who were given interventional therapy treatment after having digital subtraction angiography were included in intervention treatment group. The patients who were not given any interventional therapy treatment were included into control group. Results There were many risk factors influencing the prognosis of SAH, among which, age, smoking, hypertension, diabetes mellitus, and no interventional therapy treatment could increase the risk of poor prognosis. Compared with those patients who did not have bad outcomes, the patients with bad outcomes were older (56.7 vs 53.4 years old), and had higher proportion of smoking (48.9% vs 13.3%), higher proportion of hypertension and diabetes mellitus (93.3% vs 66.7%, 77.8% vs 39.9%). And patients with bad outcomes received lower proportion of interventional therapy treatment (37.8% vs 64.0%). Multivariate analysis showed that these risk factors continued to influence the occurrence of bad outcomes. Conclusion Re-bleeding and spasm of blood vessel of brain are the main factors to influence the prognosis. Therefore, the suggestion is to give interventional therapy treatment as early as possible.

Key words: Subarachnoid hemorrhage; Prognosis factors; Interventional therapy treatment