The Short-term Prognostic Factors Of In210Patients With Supratentorial Hypertensive Intracerebral Hemorrhage

Objective：The relationship between influential factors andshort-term prognosis with Supratentorial hypertensive intracerebral hemorrhageis discussed,so as to provide theoretical basis for clinical preventing andtreatment and finally to improve the outcome．Method: Retrospective analysisthe data of95patients with hypertensive intracerebral hemorrhage(HCH) inLuzhou Medical College Neurosurgery，during2010．8-2012．8.All patientswere followed with phone calls after90days of Survival status and livingskills.According to comparing the Barthel indexes(BI) on90days later，thepatients were divided into2groups：good prognosis group(including self-caregroup and Life need help group) and Poor prognosis group(including Life isobviously and completely dependent group and Death group).First single-factoranalysis the relationship between systolic blood pressure, treatment time,blood glucose, GCS score, hematoma volume, gastrointestinal bleeding,pulmonary infection, hernia,hemorrhage breaking into the ventricle, whethermidline shift, admission respiratory tract patency, gender, age, etc.indicatorsand90days after the onset of the survival of the state,then multivariate analysisthe Statistically significant factors of good or bad with the survival of thestate.Results:single-factor analysis systolic blood pressure, treatment time,blood glucose, GCS score, hematoma volume, gastrointestinal bleeding,pulmonary infection, hernia, hemorrhage breaking into the ventricle, midlineshift, admission respiratory tract patency, gender with Chi-square test,P<0.05,Therefore these independent variables were statistically significantand related to the prognosis of patients.Multivariate analysis the statisticallysignificant factors with Logistic regression model,0.05for the test level.Anindependent risk factor for poor prognosis including gender, GCS score andhematoma volume.The risk of poor prognosis is that4.668times as manywomen as men,OR95%CI1.197-18.203.High GCS score reduce the risk ofpoor prognosis and the poor prognosis rate reduced to0.226times as GCSscore increases1point,OR95%CI0.112~0.456.The risk of poor prognosis willincrease when hematoma volume increases,that is the poor prognosis rateincreased to1.099times(Or0.099times larger) as hematoma increases per1ml,OR95%CI1.034to1.168.Conclusion:1.Age’s no statistically significantwith Univariate analysis (P=0.507),it’s may be relation to sample small andshorter follow-up.It’s need further research.2.Systolic blood pressure, bloodsugar, treatment time, whether associated with gastrointestinal bleedingassociated with lung infection, hernia, broken into ventricles, midline shift10mm and whether airway patency are related with patients admitted to hospital90days after the prognosis is good.There’s a significant correlation betweenSystolic blood pressure greater than180mmHg,blood glucose greater than8mmol/L, treatment time greater than6hours with poor prognosis of patients,Soneed to control.3.The independent risk factor for poor prognosis includinggender, GCS score and hematoma volume.the boundary of significantlyincreased poor prognosis are GCS score less than9points and hematomagreater than50mmL.It’s must to be pay more attention when the treatment plan is made.