| Objective: This study, through understanding and analyzing the characteristicsand risk factors of the patients with primary intracerebral hemorrhage, provides thebasis for prevention and clinical treatment of primary intracerebral hemorrhage.Methods: After selecting506cases of patients with primary intracerebralhemorrhage hospitalized by Neurosurgery Department in China-Japan UnionHospital of Jilin University in March2012to February2014, the writer madestatistics and prospective analysis of the following clinical data: detailed records ofall the clinical data of patients, including their admission date, age, sex, bloodpressure on admission, history of disease and family history, etc.; further collectionof relevant imaging examination of patients after admission, including the head CThead CTA, head MRI and head DSA, etc.; related laboratory tests, including bloodroutine, coagulation time, fasting blood sugar and blood lipids index of somepatients, etc.Results:1. The epidemiological characteristics of primary intracerebral hemorrhage: ofthe506cases, the average age of the patients was56.60+/-12.01. The highestproportion of patients is the40to69years old age bracket, accounting for78.46%.The patients in the40to49years old age bracket are114cases, accounting for22.53%; the patients in the50to59years old age bracket are169cases, accountingfor33.40%; the patients in the60to69years old age bracket are114cases,accounting for22.53%. With the number of male patients314cases and the femalepatients192cases, the incidence ratio for male and female is1.63:1. The number ofthe cases of the disease in spring is144cases (28.46%); the number of cases of thedisease in summer is115cases (22.73%); the number of cases of the disease inautumn is163cases (32.21%); the number of cases of the disease in winter is84 cases (16.60%). The number of cases is53cases (10.47%) in April and61cases(12.06%) in November.2. Living habits and diseases history of the patients diagnosed with primaryintracerebral hemorrhage: in the506cases of patients, patients with smoking accountfor191cases (37.75%); patients with alcoholic accounts for185cases(36.56%);patients with a history of hypertension account for280cases (55.34%) and patientswith a history of diabetes account for41cases(8.10%); patients with cardiovasculardisease account for85cases (16.80%); patients with a family history of hypertensionaccount for31cases (6.13%); stroke patients with a family history account for21cases (4.15%) and patients with other family diseases histories account for10cases(1.98%). Patients with a family history of hypertension account for281cases;patients with hypertension higher than140MMHG (including140MMHG)account for431cases (85.18%); patients with low pressure lower than90MMHG(including90MMHG) account for403cases (79.64%)；patients with hypertensionaccount for442cases(87.35%). In the506cases, patients with hypertension accountfor281cases; patients with good medication compliance account for84cases(29.89%) and patients with a history of diabetes account for16cases(39.02%);patients with cardiovascular disease history account for77cases; patients with goodmedication compliance account for9cases (11.69%).3. The bleeding site of primary intracerebral hemorrhage: in the506cases ofprimary intracerebral hemorrhage, patients with basal ganglia hemorrhage accountfor260cases (51.38%); patients with lobes hemorrhage account for113cases(22.33%); patients with ventricular hemorrhage account for46cases(9.09%);patients with brain stem hemorrhage account for44cases (8.70%); patients withsmall cerebral hemorrhage account for23cases (4.55%); patients with subarachnoidhemorrhage account for20cases (3.95%). The bleeding sites of primaryintracerebral hemorrhage are mainly composed of basal ganglia and brainhemorrhage. The incidence of patients with high systolic blood pressure were119cases (82.64%) in spring,89cases (77.39%) in summer,147cases (90.18%) in autumn and76cases (90.48%) in winter.4. Laboratory indexes: in the506cases of patients with intracerebralhemorrhage, patients with a higher than normal amount of white blood cellsaccount for263cases (51.98%), patients with white blood cells below normalaccount for6cases (1.19%), patients with fasting blood glucose value or greaterthan7.0mmol/l account for284cases (56.13%), patients with impaired glucosetolerance account for83cases (16.40%). In the506cases, there were263patientswith detailed blood fat index. The proportion of patients with abnormal rate ofblood fat is as follows: patients with high triglycerides account for152cases(57.80%); patients with low HDL account for52cases (19.77%); patients with highdensity lipoprotein account for31cases (11.79%); patients with low densitylipoprotein account for140cases (53.23%); patients with low density lipoprotein ison the high side for67cases of patients (25.48%).The conclusions:1. Among this group of patients, the average age of the patients with primaryintracerebral hemorrhage is56.6±12.01years old. Highly rate of this disease is inage group between40~69years old, among which the age group between50~59ishigh-risk. The incidence ratio of intracerebral hemorrhage for male and female was1.63:1and the proportion of male patients is higher than that of female patients.2. After the classification of506cases by season based on astronomical factors,the onset of primary intracerebral hemorrhage patients occurs frequently in springand autumn, focusing on November and April every year.3. Among this group of patients, the bleeding sites of primary intracerebralhemorrhage, listed from the high order, are: basal ganglia hemorrhage, lobes,ventricle, brain stem, cerebellum, subarachnoid space. The bleeding parts ofintracerebral hemorrhage are mainly in basal ganglia and cerebral lobe.4. In the506cases, patients with hypertension account for87.35%and patientswith a family history of hypertension account for55.34%.5. After the onset of patients with primary intracerebral hemorrhage, WBC value and fasting glucose value will increase accordingly, with an elevated WBCvalue accounting for51.98%and an elevated blood sugar accounting for72.53%. |
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