目的分析脑动脉瘤术后症状性血管痉挛发生的影响因素,探讨预防对策。方法回顾性分析保定市第一医院2001年4月-2011年3月收治的183例脑动脉瘤手术患者的临床资料,分析脑动脉瘤术后症状性血管痉挛发生的影响因素,并探讨临床预防对策。结果脑动脉瘤术后症状性血管痉挛发生率为17.5%(32/183),其发生与患者性别、年龄无明显关系(P>0.05),而受到患者入院时的Hunter’s分级与Fisher分级、法舒地尔治疗及3H治疗因素的影响(P<0.05)。结论临床上应注意脑动脉瘤术后症状性血管痉挛发生的影响因素,通过针对性措施预防和避免该术后并发症的发生,提高脑动脉瘤患者的术后生活质量。 Objective To analyze the influencing factors of symptomatic vasospasm after cerebral aneurysm surgery and to explore the preventive measures. Methods The clinical data of 183 patients with cerebral aneurysm surgery admitted from April 2001 to March 2011 in First Affiliated Hospital of Baoding City were retrospectively analyzed. The influencing factors of symptomatic vasospasm after cerebral aneurysm surgery were analyzed. The clinical preventive measures Countermeasures. Results The incidence of symptomatic vasospasm after cerebral aneurysm was 17.5% (32/183). There was no significant correlation between the occurrence of vasospasm and gender and age of patients (P> 0.05). However, Hunter’s classification and Fisher classification Effect of Shudeer treatment and 3H treatment (P <0.05). Conclusions Clinicians should pay attention to the influencing factors of symptomatic vasospasm after cerebral aneurysm surgery, and to prevent and avoid the occurrence of postoperative complications and improve the postoperative quality of life of cerebral aneurysm patients through targeted measures.