| Objective:To investigate the prognostic related factors of in the patients with ruptured anterior circulation aneurysms by surgical aneurysm clipping treatment.Materials and Methods:The medical record data in 61 cases of ruptured aneurysm treated by clipping treatment were performed the retrospective analysis,including the age,bleeding times,Hunt-Hess grade on admission,Fisher grade on admission,etc.The patient's prognosis situation adopted the modified Rankin scale Score(mRS)as the evaluation standard when discharge from hospital 6 months.Firstly the possible factors were performed the single factor analysis,then the factors with statistic significance in the single factor analysis were performed the multiple factors logistic regression analysis.Results:The single factor analysis indicated that the bleeding times,Hunt-Hess grade on admission,GCS grade,CT Fisher grading,Postoperative cerebrovascular complications and intracranial infection were significantly correlated with the prognosis(P<0.05).The multiple factors analysis indicated that Hunt-Hess grade on admission,CT Fisher grading,Postoperative cerebrovascular complications were the independent risk factors affecting the prognosis of patients(P<0.05).Conclusion:Hunt-Hess grade on admission,CT Fisher grading,Postoperative cerebrovascular complications can Significantly affect the prognosis of the patients with ruptured anterior circulation aneurysms after clipping treatment.Paying attention to the predictive value of these predictors has important clinical significance to reduce the postoperative mortality rate and disability rate in the patients with ruptured anterior circulation aneurysms. |
PDF Full Text Request