Multiple Factor Analysis and Prevention on Recurrent Hemorrhage After Operation of Hypertensive Intracerebral Hemorrhage

Objective To analyze the influence of related factors on recurrent hemorrhage after operation of(hypertensive) intracerebral hemorrhage,and investigate the countermeasure against recurrent hemorrhage.Methods Three hundred and fifty-six 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.Result The incidence of recurrent postoperative hemorrhage was 16.3 %. Univariant logistic analysis disclosed that postoperative blood pressure fluctuation,the period between initial bleeding to operation,difficulties met during the operation and inadequate hemostasis,the hemorrhage site and coagulation factor disorders significantly related with recurrence of hemorrhage(P0.05).Multiple linear logistic regression analysis showed that fluctuation of blood pressure,time between initial bleeding to operation,and difficulty in operation and inadequate hemostasis were risk factors of recurrent hemorrhage(P(0.05)).Conclusion Appropriate hemostasis in operation and postoperative blood pressure control are important meanings in preventing recurrent hemorrhage.