Influencing factors of prognosis of minimally invasive puncture on hypertensive intracerebral hemorrhage

Abstract

Objective To analyze the prognostic factors of patients with hypertensive intracerebral hemorrhage treated by minimally invasive puncture. Methods Ninety-eight patients with hypertensive intracerebral hemorrhage who underwent minimally invasive puncture surgery in the Second People’s Hospital of Jinzhong from January 2015 to December 2017 were selected as subjects of study. Forty patients had a good prognosis and 58 patients had a poor prognosis 3 months postoperatively. The factors affecting the prognosis of the patients were analyzed. Results Univariate analysis showed that age, preoperative systolic blood pressure, blood glucose, Glasgow coma scale (GCS) score, midline shift, bleeding site, bleeding volume and ventricular hemorrhage were risk factors for poor prognosis (P<0.05). Multivariate analysis showed that age, blood glucose, GCS score, blood volume and ventricular hemorrhage were independent risk factors for poor prognosis (P<0.05). Conclusions There are many factors influencing the prognosis of hypertensive intracerebral hemorrhage. Therefore, the intervention of relevant risk factors should be strengthened to improve the prognosis of patients. Key words: Hypertensive cerebral hemorrhage; Prognosis; Surgery