Risk Factors Of Upper Gastrointestinal Bleeding After Intracranial Hemorrhage

Objective To analyze risk factors of upper gastrointestinal bleeding after intracranial hemorrhage so as to give reliable basis for effective prevention and cure upper gastrointestinal bleeding.Materials and Methods One hundred and fifty one cases of patients with intracranial hemorrhage between in-patients case were collected from department of craniocerebral trauma in March to December of2011years.According to the basic and clinical research summary with gastrointestinal lesions from the second hospital of Ian zhou university’s neurosurgery and the risk factors analysis of upper gastrointestinal bleeding after intracranial hemorrhage.a questionaire was developed to investigate the clinical observation content of151patients,which was age, sex, intracranial hemorrhage way,bleeding position and quantity of bleeding, a Glasgow coma scale (GCS) with the admission, blood pressure level, gastrointestinal bleeding.All of the data were detected by statistical analysis.Results One hundred and fifty one valid questionnaires were obtained.Upper gastrointestinal bleeding after intracranial hemorrhage occurred in107patients (70.86%).The incidence of upper gastrointestinal bleeding was no gender difference between the bleeding group and no bleeding(P>0.05),but compared between men and women in bleeding group, the incidence of women was higher than men(P<0.01).The incidence of gastrointestinal bleeding between31to50years old was higher than other age groups(p<0.01).The lower Glasgow Coma Score.the higher incidence of upper gastrointestinal bleeding. so GCS for3to7points and8to11points was obviously higher than12to15points(P<0.01).With respect to the influence of gastrointestinal bleeding with intracranial hemorrhage site. the incidence of basal ganglia, frontotemporal, diffuse neuraxial damage were higher than the others(P<0.05).The amount of hematoma was greater, the influence of gastrointestinal bleeding was more vulnerable(P<0.01).No matter what causes of intracranial hemorrhage, the incidence of gastrointestinal bleeding was no statistical difference(p>0.05).The incidence of gastrointestinal bleeding in post-emergency surgery patients was higher than the elective operation and conservative treatment of patients(P<0.01).Conclusions The certain risk factors of upper gastrointestinal bleeding after intracranial hemorrhage were age between31to50years old, Glasgow coma scale<11points, basal ganglia of cerebral hemorrhage site, the amount of hematoma, emergency surgery and the uncertain risk factors were gender, hemorrhage reason.