Multivariate analysis on recurrent hemorrhage after operation of hypertensive intracerebral hemorrhage
- VernacularTitle:高血压脑出血术后再出血的多因素分析
- Author:
Donghui CHEN
;
Hongwei CHENG
- Publication Type:Journal Article
- Keywords:
hypertensive intracerebral hemorrhage;
operation;
recurrent hemorrhage;
risk factors;
prevention
- From:
Acta Universitatis Medicinalis Anhui
2015;(6):873-875,876
- CountryChina
- Language:Chinese
-
Abstract:
To analyze the influence of related factors on recurrent hemorrhage after operation of hypertensive intrac-erebral hemorrhage,and investigate the countermeasures against recurrent hemorrhage. 124 patients with surgical treated hypertensive intracerebral hemorrhage were analyzed retrospectively. Logistic regression analysis was applied to analyze the function of various possible factors that might induce recurrent hemorrhage. The incidence of recur-rent postoperative hemorrhage was 16. 1% . Univariate logistic analysis disclosed that timing of operation,the hem-orrhage site and coagulation factor disorders,difficulties met during the operation and inadequate hemostasis,and postoperative blood pressure fluctuation were significantly related with recurrence of hemorrhage(P < 0. 05). Multi-variate logistic regression analysis showed that timing of operation,difficulties met during the operation and inade-quate hemostasis and postoperative blood pressure fluctuation were risk factors of recurrent hemorrhage(P < 0. 05). The optimal operative time,strict hemostasis in operation and appropriate postoperative blood pressure control are important measures in preventing recurrent hemorrhage.
