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《Chinese Journal of Stroke》 2014-05
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Analysis of Risk Factors in Symptomatic Cerebral Vasospasm after Subarachnoid Hemorrhage

ZHANG Ling-Dang;SONG Yi;FENG Qing-Lin;LIU Ming-Dong;FAN Shi-Bing;DU Jiang-Feng;ZHANG Peng;FENG Mei;Department of Neurosurgery, Chongqing Three Gorges Central Hospital;  
Objective To explore the risk factors for cerebral symptomatic vasospasm following subarachnoid hemorrhage(SAH), and provide reference for the prevention and treatment of symptomatic cerebral vasospasm(SCVS).Methods The clinical data of 96 SAH patients were retrospectively analyzed, and the risk factors such as gender, age, history of hypertension, history of diabetes, modified Fisher grades were statistically analyzed.Results Of all 96 patients, 39 were found SCVS. There were statistical differences in age, history of hypertension, cigarette smoking, intraventricular hemorrhage, Hunter-Hess grade, modified Fisher grades, the degree of vasospasm, and the use of nimodipine between the group of SCVS and the group of non-SCVS by univariate analysis. Logistic regression analysis demonstrates that lower age, history of hypertension, modified Fisher grades are the risk factors of SCVS, and the value of their ORs are 0.567, 1.982, 2.713, respectively. The use of nimodipine is the conservancy factor, and the value of its OR is 0.799.Conclusion SCVS after SAH is the result of co-action of multiple factors. The age, history of hypertension, modified Fisher grades, and the use of nimodipine are independent risk factors. Early detection and treatment should be strengthened.
【CateGory Index】: R743.3;R743.35
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